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مقالات فارسیISIکنفرانسهاژورنالها

Differentiation of Brucella-Induced Epididymo-orchitis from Nonspecific Epididymo-orchitis in an Endemic Area for Brucellosis

محل انتشار: مجله میکروبیولوژی پزشکی و بیماریهای عفونی، دوره: 1، شماره: 1
سال انتشار: 1392
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 42

فایل این مقاله در 6 صفحه با فرمت PDF قابل دریافت می باشد

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لینک ثابت به این مقاله:
https://civilica.com/doc/1917616

شناسه ملی سند علمی:

JR_JMMI-1-1_002

تاریخ نمایه سازی: 29 بهمن 1402

چکیده مقاله:

Distinction between brucellar epididymo-orchitis (BEO) and nonspecific epididymo-orchitis (EO) is an important medical issue. This study was conducted to compare demographic, clinical and laboratory features, treatment and outcome of patients with BEO and nonspecific EO in Arak city, Markazi Province, Iran. We compared the clinical and laboratory characteristics of ۴۰ BEO and ۴۰ non-specific EO patients. The diagnosis of brucellosis was based on the symptoms, compatible clinical findings and standard tube agglutination test. Epididymo-orchitis was diagnosed by swelling and tenderness of scrotal skin, testis and epididymis, which was confirmed by sonography. BEO can be distinguished from nonspecific EO based on having a history of living in rural areas, contact with domestic animals, and consumption of unpasteurized dairy products. Other criteria include seasonal pattern, gradual onset (P<۰.۰۵), sweating (P<۰.۰۰۱), arthralgia (P=۰.۰۲), associated lower urinary tract symptoms (P=۰.۰۰۴) and lower rate of leukocytosis and abnormal urine analysis (P=۰.۰۰۲). Our results showed that brucellosis should be considered as a cause of EO in endemic areas like Iran. Combination antibiotic therapy to manage BEO is usually effective and all patients in this study responded quite satisfactory to the treatment.

کلیدواژه ها:

Brucellar epididymo-orchitis ، Nonspecific epididymo-orchitis ، Iran

نویسندگان

Masoomeh Sofian

Tuberculosis and Pediatric Infectious Research Center, Arak University of Medical Sciences, Arak, Iran

Arezoo Aghakhani

Clinical Research Department, Pasteur Institute of Iran, Tehran, Iran

Mohammad Banifazl

Iranian Society for Support of Patients with Infectious Disease, Tehran, Iran

Ali Eslamifar

Clinical Research Department, Pasteur Institute of Iran, Tehran, Iran

Fatemeh Zolfaghari

Tuberculosis and Pediatric Infectious Research Center, Arak University of Medical Sciences, Arak, Iran

Hossein Sarmadian

Tuberculosis and Pediatric Infectious Research Center, Arak University of Medical Sciences, Arak, Iran

Amitis Ramezani

Clinical Research Department, Pasteur Institute of Iran, Tehran, Iran

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