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Brucellar reproductive system injury: A retrospective study of 22 cases and review of the literature.


ABSTRACT:

Objective

We aimed to describe the clinical characteristics and prognosis of 22 patients with Brucella-induced reproductive system injury.

Methods

We assessed 22 patients with reproductive system injury between 2010 and 2018 at The First Affiliated Hospital of Xinjiang Medical University.

Results

The disease is predominant in men. Male patients had orchitis, erectile dysfunction, prostatitis, and urethral stricture, while female patients had vaginitis and cervicitis. Some patients had laboratory abnormalities and liver injury. Patients received combination therapy of rifampicin and doxycycline. Doxycycline combined with levofloxacin or moxifloxacin was administered to patients with rifampicin intolerance. All patients had received antibiotic therapy for at least 6 weeks. One patient was lost to follow-up, one patient relapsed because of osteoarthropathy, and one patient had dysuria resulting from chronic prostatitis. The clinical symptoms resolved in the other patients, and the overall patient prognosis was good.

Conclusion

Clinicians should pay attention to brucellosis-induced reproductive system damage. The two-drug regimen of rifampicin+doxycycline is recommended for these patients. Doxycycline combined with levofloxacin or moxifloxacin should be used in patients with brucellosis-induced reproductive system damage who have rifampicin intolerance. The treatment course should be at least 6 weeks.

SUBMITTER: Zhou Y 

PROVIDER: S-EPMC7303501 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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Brucellar reproductive system injury: A retrospective study of 22 cases and review of the literature.

Zhou Yan Y   Xie Songsong S   Zheng Rongjiong R   Dai Qinqi Q   Xu Zheng Z   Zuo Weize W   Ding Jianbing J   Zhang Yuexin Y  

The Journal of international medical research 20200601 6


<h4>Objective</h4>We aimed to describe the clinical characteristics and prognosis of 22 patients with <i>Brucella</i>-induced reproductive system injury.<h4>Methods</h4>We assessed 22 patients with reproductive system injury between 2010 and 2018 at The First Affiliated Hospital of Xinjiang Medical University.<h4>Results</h4>The disease is predominant in men. Male patients had orchitis, erectile dysfunction, prostatitis, and urethral stricture, while female patients had vaginitis and cervicitis.  ...[more]

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