A rare case of prostatic brucellosis mimicking prostate cancer.

Brucellosis, with 500,000 new cases occurring annually is one of the most common zoonotic diseases in the world. In Turkey its incidence is 0.59/100000 and seropositivity rate is 1.8% in the healthy population. Incidence of the disease is high among the people who live in rural areas, consume raw milk and dairy products, livestock raisers, farmers, veterinarians, butchers and laboratory workers. The clinical features of brucellosis depend on the stage of the disease, and the organs and systems involved. Brucella has been reported to compromise the central and peripheral nervous system, and the gastrointestinal (GI), hepatobiliary, genitourinary (GU), musculoskeletal, cardiovascular and integumentary systems. Osteoarticular involvements are the most common complications of human brucellosis. Osteoarticular manifestations (sacroiliitis, spondylitis, peripheral arthritis and osteomyelitis) account for over half of the focal complications. GU complications (epididymo-orchitis, prostatitis, glomerulonephritis and renal abscesses) can be found in about 1-22 % of patients. Epididymo-orchitis is the most common presentation of GU involvement due to brucellosis. Brucellosis as a cause of prostatitis is quite rare, it is only reported as a few case reports in the literature. In this case report diagnoses and treatment of prostatitis cases of brucellosis are discussed.