Ultrasonographic and Histopathological Findings in Rams with
Epididymo-Orchitis Caused byBrucella
melitensis
Ashraf M Abu-Seida1*, Kawkab A Ahmed2,
Faisal A Torad1 and Sherif A Marouf3
1Department
of Surgery, Anesthesiology & Radiology; 2Department of
Pathology; 3Department of Microbiology, Faculty of
Veterinary Medicine, Cairo University, Giza-Egypt *Corresponding author: ashrafseida@cu.edu.eg; ashrafseida@yahoo.com
Abstract
Epididymo-orchitis is one of the most important reproductive diseases in rams
caused by various pathogens. The purpose of this study was to describe the
clinical, ultrasonographic and histopathological characteristics of
epididymo-orchitis caused by Brucella melitensis in rams. Nine rams with a large
unilateral scrotal swelling were admitted to the surgery clinic. Full case
history, thorough clinical examination, Rose Bengal test (RBT),
Microagglutination test, ultrasonographic and histopathological examinations
were carried out for all rams. The mean age of the diseased rams was 4±1.7
years. The diseased rams showed positive RBT (++) and the mean antibrucella
titer was 1/140±7.8. For rams admitted between 1 to 2 months from the onset of
clinical signs, the main ultrasonographic findings included thick hyperechoic
scrotum, thick hyperechoic testicular tunics, anechoic fluid into vaginal
cavity, enlarged testis, absence of testicular echogenic pattern, wide
appearance of the mediastinum testis and multiple hypoechoic testicular and
epididymal abscesses. For rams admitted between 2 to 3 months from the onset of
clinical signs, hyperechoic multiple testicular abscesses, hyperechoic fibrous
foci and thick hyperechoic epididymes were seen. The pathognomonic lesions were
multiple focal testicular and epididymal abscesses, microgranulomas and
microcalcification, necrosis of germinative epithelium, atrophy of seminiferous
tubule with absence of spermatogenesis and interstitial edema associated with
inflammatory cells infiltration. Scrotal lymph node showed focal caseous
lymphadenitis with capsular edema. In conclusion, the ultrasonographic and
histopathological findings of epididymo-orchitis caused by B. melitensis in rams
are characteristics and vary depending on the chronological stage of the
disease.