a case of granulomatous orchitis due to brucellosis with unusual clinical and paraclinical findings

introduction granulomatous epididymo-orchitis is a rare complication of brucellosis that usually appears in patients with antecedent brucella infection. case presentation the current study reports an 18-year-old man with acute epididymo-orchitis. in this case, an anti-brucella treatment was started based on epidemiological history and clinical findings, but the final diagnosis was established only after radical orchiectomy. discussion especially in endemic areas of brucellosis, the disease should be considered in differential diagnosis of epididymo-orchitis. throughout completion of anti-brucella treatment, patients should be under close observation in order to assess the clinical improvement.