The value of ultrasound in the diagnosis of testicle and multiple organ damage in brucellosis / 中国医师杂志

ABSTRACT

Objective To understand the ultrasonographic changes of brucellosis and to provide reliable basis for early diagnosis and treatment of brucellosis,and to reduce the incidence of complications caused by brucellosis,especially the incidence of infertility.Methods A retrospective analysis of 447 male patients with brucellosis confirmed by clinical serology was carried out.All of them were examined by ultrasonography.The testicular changes and ultrasonic manifestations associated with other organs were analyzed.Results Among 447 patients,175(39.15％) had abnormal testicular images,264(59.06％) had abnormal splenic changes,36(32.14％,36/112) had cardiac changes,36 (8.05％) had liver changes,and 3(0.67％) had other changes.Conclusions Ultrasound imaging is not only an important means of screening brucellosis,but also can detect early organ and tissue damage before clinical symptoms,especially testicular damage.Thus providing an effective basis for clinical early diagnosis,early treatment,misdiagnosis and treatment judgment.