A previously healthy man in Austria had tularemia epididymo-orchitis develop, leading to unilateral orchiectomy. Francisella tularensis subspecies holartica was detected by 16S rRNA gene sequencing analysis of inflamed granulomatous testicular tissue. Clinicians should suspect F. tularensis as a rare etiologic microorganism in epididymo-orchitis patients with relevant risk factors.
Keywords: Austria; Francisella tularensis subspecies holartica; bacteria; epididymo-orchitis; human tularemia; orchiectomy; tularemia; zoonoses.