[Renal brucelloma: an exceptional pathology].

OBJECTIVES

To report one case of renal brucelloma, an extraordinarily rare pathology in our environment.

METHODS

51-year-old completely asymptomatic patient who was referred from his primary care physician for the study of a calcified image on the right renal area discovered in a x-ray control.

RESULTS

Radiological studies (US + CT scan + IVU) showed an irregular calcified mass in the lower pole of a non-functional right kidney. Microbiological diagnosis was negative. Radical nephrectomy was performed. Purulent material came out from the kidney during the operation, which cultured (+) to Brucella Melitensis. Pathologic study was compatible with renal brucelloma.

CONCLUSIONS

Genitourinary involvement by Brucella is second in frequency after osteoarticular, being orchyoepididymitis the most common clinical presentation, followed by prostatitis. Renal involvement is exceptional.