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Brucellosis Prostatitis: A Neglected Diagnosis for a Tropical Disease

Abstract:

Fevers of unknown origin (FUO) remain a diagnostic challenge despite recent advances in diagnostic modalities including serological testing and imaging techniques. We report a case of FUO subsequently found to be acute prostatitis secondary to brucellosis in an immigrant from Mexico. A 74-year-old Mexican man who had immigrated to the USA 2 months prior presented to the emergency room with fever, dysuria, watery diarrhea, and tender prostate. Blood cultures collected during a febrile episode grew Brucella melitensis 9 days after collection. The Brucella IgM antibody was also positive. He was started on treatment with intravenous gentamicin, oral rifampin, and oral doxycycline. The patient’s fever, abdominal symptoms, and dysuria resolved. His case highlights the importance of including brucellosis in the differential diagnosis in patients presenting with FUO with the appropriate risk factors.