A Case of Brucellosis Presenting with Multiple Hypodense Splenic Lesions and Bilateral Pleural Effusions
Brucellosis is a zoonotic infectious disease, which mainly present with lymphoreticular system invovement. However any organ system can be attacked by the microorganism. In this paper we present a 52-year-old female patient who was admitted to the Infectious Diseases Department with complaints of fa...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2011/614546 |
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| author | Emine Dilek Eruz Serhat Birengel Alpay Azap Gulden Yilmaz Bozkurt |
| author_facet | Emine Dilek Eruz Serhat Birengel Alpay Azap Gulden Yilmaz Bozkurt |
| author_sort | Emine Dilek Eruz |
| collection | DOAJ |
| description | Brucellosis is a zoonotic infectious disease, which mainly present with lymphoreticular system invovement. However any organ system can be attacked by the microorganism. In this paper we present a 52-year-old female patient who was admitted to the Infectious Diseases Department with complaints of fatigue, arthralgias, fever, and weight loss. In the medical examination and radiological analysis bilateral pleural effusions and hepatosplenomegaly were detected. Serum transaminase levels were two times higher than the upper limits of normal. Abdominal ultrasound revealed sludge in the gallbladder and multiple hypodense splenic lesions (the largest was 1 cm in diameter). Brucella melitensis was isolated from the blood culture of the patient. Rifampicin (600 mg/day) and doxycycline (200 mg/day) therapy was started. Follow-up chest radiography and ultrasonography revealed the absence of pleural effusion. Splenic lesions and hepatosplenomegaly were totally regressed. The patient has been followed for 3 months after 6 week antibiotic regimen without recurrence. Brucellosis was expected to be the cause of all pathological signs. |
| format | Article |
| id | doaj-art-a19bb44a4c3e41148f3b9438ee1067bc |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-a19bb44a4c3e41148f3b9438ee1067bc2025-02-03T01:24:53ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/614546614546A Case of Brucellosis Presenting with Multiple Hypodense Splenic Lesions and Bilateral Pleural EffusionsEmine Dilek Eruz0Serhat Birengel1Alpay Azap2Gulden Yilmaz Bozkurt3Department of Clinical Microbiology and Infectious Diseases, Faculty of Medicine, Ankara University, 06100 Ankara, TurkeyDepartment of Clinical Microbiology and Infectious Diseases, Faculty of Medicine, Ankara University, 06100 Ankara, TurkeyDepartment of Clinical Microbiology and Infectious Diseases, Faculty of Medicine, Ankara University, 06100 Ankara, TurkeyDepartment of Clinical Microbiology and Infectious Diseases, Faculty of Medicine, Ankara University, 06100 Ankara, TurkeyBrucellosis is a zoonotic infectious disease, which mainly present with lymphoreticular system invovement. However any organ system can be attacked by the microorganism. In this paper we present a 52-year-old female patient who was admitted to the Infectious Diseases Department with complaints of fatigue, arthralgias, fever, and weight loss. In the medical examination and radiological analysis bilateral pleural effusions and hepatosplenomegaly were detected. Serum transaminase levels were two times higher than the upper limits of normal. Abdominal ultrasound revealed sludge in the gallbladder and multiple hypodense splenic lesions (the largest was 1 cm in diameter). Brucella melitensis was isolated from the blood culture of the patient. Rifampicin (600 mg/day) and doxycycline (200 mg/day) therapy was started. Follow-up chest radiography and ultrasonography revealed the absence of pleural effusion. Splenic lesions and hepatosplenomegaly were totally regressed. The patient has been followed for 3 months after 6 week antibiotic regimen without recurrence. Brucellosis was expected to be the cause of all pathological signs.http://dx.doi.org/10.1155/2011/614546 |
| spellingShingle | Emine Dilek Eruz Serhat Birengel Alpay Azap Gulden Yilmaz Bozkurt A Case of Brucellosis Presenting with Multiple Hypodense Splenic Lesions and Bilateral Pleural Effusions Case Reports in Medicine |
| title | A Case of Brucellosis Presenting with Multiple Hypodense Splenic Lesions and Bilateral Pleural Effusions |
| title_full | A Case of Brucellosis Presenting with Multiple Hypodense Splenic Lesions and Bilateral Pleural Effusions |
| title_fullStr | A Case of Brucellosis Presenting with Multiple Hypodense Splenic Lesions and Bilateral Pleural Effusions |
| title_full_unstemmed | A Case of Brucellosis Presenting with Multiple Hypodense Splenic Lesions and Bilateral Pleural Effusions |
| title_short | A Case of Brucellosis Presenting with Multiple Hypodense Splenic Lesions and Bilateral Pleural Effusions |
| title_sort | case of brucellosis presenting with multiple hypodense splenic lesions and bilateral pleural effusions |
| url | http://dx.doi.org/10.1155/2011/614546 |
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