[Renal cyst infected by Brucella]. / Quiste renal infectado por Brucela.

OBJECTIVES: To report one case of renal cyst infected by Brucella, an exceptional pathology in our environment. METHODS: 82-year-old patient who was referred from his primary care physician for persistent microhematuria and piuria without evidence of infection. RESULTS: Radiological studies (XR+US+CTscan) showed a left renal cyst with parietal calcifications. Pathologic study was compatible with complicated cyst, with cultured (+) to Brucella spp. CONCLUSIONS: Renal involvement by Brucella is exceptional, and the cystic renal involvement is by far one of the more exceptional manifestations.

Quiste renal infectado por brucela / Renal cyst infected by brucella

Objetivos: Presentar un caso clínico de quiste renal infectado por Brucela, patología excepcional en nuestro medio. Método: Paciente de 82 años remitido desde Atención primaria por microhematuria y piuria persistentes sin evidencia de infección de orina. Resultado: El estudio radiológico (Rx+ECO+TAC) demuestra una imagen sugestiva de quiste renal izquierdo con calcificación depared. El estudio anatomopatológico se demostró compatible con quiste renal complicado y el cultivo fue positivo para Brucella spp. Conclusiones: La afectación renal por Brucela es excepcional, siendo aún más extraordinaria la infección de un quiste renal, motivo por el cual presentamos el caso (AU)

Objetives: To report one case of renal cyst infected by Brucella, an exceptional pathology in our environment. Methods: 82-year-old patient who was referred from his primary care physician for persistent microhematuria and piuria without evidence of infection. Results: Radiological studies (XR+US+CTscan) showed a left renal cyst with parietal calcifications. Pathologic study was compatible with complicated cyst, with cultured (+) to Brucella spp. Conclusions: Renal involvement by Brucella is exceptional, and the cystic renal involvement is by far one of the more exceptional manifestations (AU)

[Primary testicular lymphoma. Report of two cases and bibliographic review]. / Linfoma testicular primario. Presentación de dos casos y revisión de la literatura.

OBJECTIVE: We report two cases of primary testicular lymphoma and performed a bibliography review about this pathology. METHODS/RESULTS: We describe two cases of primary testicular lymphoma in two male patients 69 and 61 yr. old respectively. In both cases, reason for consultation was increase of the right testicular size. After inguinal orchyectomy the diagnosis for the first case was large and medium T cell diffuse lymphoma, stage I (E)-A; three years after chemotherapy (R-CHOP) the patient is in complete remission. In the second case, the diagnosis was diffuse large B-cell lymphoma, and after receiving various chemotherapy regimens died 14 months after diagnosis. CONCLUSIONS: Testicular lymphoma is a very rare entity, despite being considered the most common testicular tumor in patients over the age of 60 years. Most of them are non-Hodgkin diffuse, intermediate or high grade of malignancy, B-cell immunophenotype, being T cell exceptional. Prognosis is poor due to their high tendency to systemic dissemination. The treatment is based on orchiectomy, chemotherapy and radiotherapy, although there is not a standardized regimen.