Epididymoorchitis complication of brucellosis that may affect many organs and systems of the body had been reported in up to 20% of patients with brucellosis. However we seldom, if ever, see initial epididymoorchitis as a single manifestation of brucellosis. This is a case report of Brucella epididymoorchitis in a Turkish male patient. He presented with unilateral swelling and pain on the left testicle. He had no other accompanying symptoms like fever, arthralgia or night sweats for at least 8 days. Ultrasound examination revealed enlarged left epididymis and testicle. Brucella serology was positive and the patient responded to treatment with doxycycline and rifampicin. We conclude that in a patient from an endemic area, Brucella infection can emerge only in the form of epididymoorchitis.
Keywords: Epididymitis orchitis, brucella