Brucella liver abscess; imaging approach, differential diagnosis, and therapeutic management: a case report.

Cases Journal
Danai ChourmouziAntonios Drevelegas

Abstract

We report a new case of a brucellar liver abscess (brucelloma) in a young woman without previous remote brucellosis who presented with pronounced systemic and mild local symptoms. Brucelloma is the result of calcification of a granoulomatous reaction induced by persistent Brucella in macrophages. It represents a rare manifestation that follows previously undetected brucellosis. We describe the findings in plain radiograph, ultrasound, computed tomography, and magnetic resonance images. Together with the positive serology, imaging yielded important elements supporting the diagnosis. Modern radiological techniques also contributed to the final therapeutic management, preventing unnecessary laparotomy. Sequencing confirmed the definite diagnosis of Brucella melitensis as the causative factor.

References

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Citations

Oct 26, 2013·The Lancet Infectious Diseases·Letizia BaruttaLuigi Maria Fenoglio
Mar 28, 2012·Vector Borne and Zoonotic Diseases·Daniel A AgostinelliNidia E Lucero
Sep 10, 2014·Case Reports in Radiology·Sergio SavastanoMario Beghetto
Feb 24, 2015·Diagnostic and Interventional Imaging·F Le MoigneB Bancel
Mar 28, 2013·Case Reports in Gastrointestinal Medicine·Federico CattaneoEnrico Brunetti
Aug 24, 2013·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Filippo BartalesiFabio Marra
Aug 19, 2015·The American Journal of Tropical Medicine and Hygiene·Tom HellerEnrico Brunetti
Jul 25, 2017·Indian Pediatrics·Devdeep MukherjeeRitabrata Kundu

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Methods Mentioned

BETA
imaging techniques
ESR
PCR

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