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Genitourinary brucellosis: results of a multicentric study

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dc.creator Inan, A.
dc.creator Cesur, S.
dc.creator Sozen, H.
dc.creator Kader, C.
dc.creator Erdem, H.
dc.creator Elaldi, N.
dc.creator Ak, O.
dc.creator Gulsun, S.
dc.creator Tekin, R.
dc.creator Ulug, M.
dc.creator Sunnetcioglu, M.
dc.creator Tulek, N.
dc.creator Guler, S.
dc.creator Kaya, S.
dc.creator Turker, N.
dc.creator Parlak, E.
dc.creator Demirdal, T.
dc.creator Hatipoglu, C. Ataman
dc.creator Avci, A.
dc.creator Bulut, C.
dc.creator Pekok, A.
dc.creator Savasci, U.
dc.creator Kaya, S.
dc.creator Tasbakan, M.
dc.creator Guven, T.
dc.creator Bolukcu, S.
dc.creator Sahin-Horasan, E.
dc.creator Kazak, E.
dc.creator Denk, A.
dc.creator Gonen, I.
dc.creator Karagoz, G.
dc.creator Solay, A. Haykir
dc.creator Alici, O.
dc.creator Senturk, G.
dc.creator Tosun, S.
dc.creator Turan, H.
dc.creator Ozturk-Engin, D.
dc.creator Bozkurt, F.
dc.creator Deveci, O.
dc.creator Kadanali, A.
dc.creator Sayar, M. S.
dc.creator Cetin, B.
dc.creator Yemisen, M.
dc.creator Naz, H.
dc.creator Gorenek, L.
dc.creator Agalar, C.
dc.creator Avci, M.
dc.creator Cag, Y.
dc.creator Baran, A. I.
dc.creator Duygu, F.
dc.date 2014-10-31T22:00:00Z
dc.date.accessioned 2020-10-06T09:24:54Z
dc.date.available 2020-10-06T09:24:54Z
dc.identifier 0ed90fa9-3d21-431b-a8b5-6e2caea8e377
dc.identifier 10.1111/1469-0691.12680
dc.identifier https://avesis.sdu.edu.tr/publication/details/0ed90fa9-3d21-431b-a8b5-6e2caea8e377/oai
dc.identifier.uri http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/53358
dc.description This study reviewed the clinical, laboratory, therapeutic and prognostic data on genitourinary involvement of brucellosis in this largest case series reported. This multicentre study pooled adult patients with genitourinary brucellar involvement from 34 centres treated between 2000 and 2013. Diagnosis of the disease was established by conventional methods. Overall 390 patients with genitourinary brucellosis (352 male, 90.2%) were pooled. In male patients, the most frequent involved site was the scrotal area (n=327, 83.8%), as epididymo-orchitis (n=204, 58%), orchitis (n=112, 31.8%) and epididymitis (n=11, 3.1%). In female patients, pyelonephritis (n=33/38, 86.8%) was significantly higher than in male patients (n=11/352, 3.1%; p<0.0001). The mean blood leukocyte count was 7530 +/- 3115/mm(3). Routine laboratory analysis revealed mild to moderate increases for erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). The mean treatment duration and length of hospital stay were significantly higher when there were additional brucellar foci (p<0.05). Surgical operations including orchiectomy and abscess drainage were performed in nine (2.3%) patients. Therapeutic failure was detected in six (1.5%), relapse occurred in four (1%), and persistent infertility related to brucellosis occurred in one patient. A localized scrotal infection in men or pyelonephritis in women in the absence of leucocytosis and with mild to moderate increases in inflammatory markers should signal the possibility of brucellar genitourinary disease.
dc.language eng
dc.rights info:eu-repo/semantics/closedAccess
dc.title Genitourinary brucellosis: results of a multicentric study
dc.type info:eu-repo/semantics/article


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