Epididymoorchitis due to Brucella melitensis

Brucellosis is the most common worldwide zoonotic infection and is characterized by febrile illness often affecting the muscular and skeletal systems. While infection with Brucella species often presents with non-localizing systemic symptoms, genitourinary manifestations are uncommonly diagnosed. Urologic involvement presenting as epididymitis or orchitis is often misdiagnosed and may demonstrate prolonged symptomatology. Global travel and the ubiquitous importation of livestock and animal products should prompt clinicians to consider the diagnosis of brucella outside of traditional endemic regions.