{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:04:07Z","timestamp":1787169847658,"version":"build-2736575974"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Epididymo-orchitis (EO) is a common urological condition. In endemic areas, EO may be the presenting picture of brucellosis. Early suspicion and proper diagnosis is necessary for patient recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>\n                      The aim of our study is to identify early predictors of\n                      <jats:italic toggle=\"yes\">Brucella<\/jats:italic>\n                      EO.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>\n                      We retrospectively collected the data of all patients who were treated at the Urology Unit, Farwaniya Hospital, with acute EO above the age of 12 years between April 2017 and February 2019. Data from electronic and hardcopy files were gathered and analyzed. The diagnosis of acute EO was based on clinical, laboratory, and radiological findings. A total of 120 patients under the diagnosis of EO, epididymitis, and orchitis were reviewed. Thirty-one patients were tested for\n                      <jats:italic toggle=\"yes\">Brucella<\/jats:italic>\n                      based on the history of animal contact, ingestion of unpasteurized dairy products, or persistent fever for more than 48 h. of those patients, 11 tested positive for\n                      <jats:italic toggle=\"yes\">Brucella<\/jats:italic>\n                      orchitis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A comparison between\n                      <jats:italic toggle=\"yes\">Brucella<\/jats:italic>\n                      -positive and\n                      <jats:italic toggle=\"yes\">Brucella<\/jats:italic>\n                      -negative patients regarding age, presence of fever, complete blood count (CBC) parameters, pyuria, and abscess formation was made. In the\n                      <jats:italic toggle=\"yes\">Brucella<\/jats:italic>\n                      group, 72% of the patients had a history of animal contact compared to 33% in non-\n                      <jats:italic toggle=\"yes\">Brucella<\/jats:italic>\n                      group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.006). When comparing CBC parameters in the two groups,\n                      <jats:italic toggle=\"yes\">Brucella<\/jats:italic>\n                      group had statistically significant lower total leukocytic count and neutrophil count (mean \u00b1 standard deviation [SD]) 13.07 \u00b1 4.22, 6.4 \u00b1 9.98 versus\n                      <jats:italic toggle=\"yes\">Brucella<\/jats:italic>\n                      negative group 17.35 \u00b1 5.28, 7.8 \u00b1 10.53, and\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      values were 0.037 and 0.004, respectively.\n                      <jats:italic toggle=\"yes\">Brucella<\/jats:italic>\n                      group showed lymphocytosis (mean \u00b1 SD) 25.95 \u00b1 9.78 versus non-\n                      <jats:italic toggle=\"yes\">Brucella<\/jats:italic>\n                      group 13.22 \u00b1 8.05 and\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Brucella<\/jats:italic>\n                      orchitis constituted 9% of the orchitis patients treated in our hospital. Patients with a history of animal contact, EO with lymphocytosis, and relative neutropenia should raise the suspicion for\n                      <jats:italic toggle=\"yes\">Brucella<\/jats:italic>\n                      orchitis in endemic areas.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ua.ua_178_21","type":"journal-article","created":{"date-parts":[[2023,4,7]],"date-time":"2023-04-07T11:17:37Z","timestamp":1680866257000},"page":"158-161","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Early predictors of Brucella epididymo-orchitis"],"prefix":"10.4103","volume":"15","author":[{"given":"Abdullah","family":"Alarbid","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shady 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