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Sonographic findings in brucellar hepatic abscess
1Gastroenterology Service, Hospital Aránzazu, San Sebastián, Guipúzcoa, Spain.
Journal of Clinical Ultrasound : JCU
|June 27, 2001
Summary
Brucellar hepatic abscesses are rare. Diagnosis in this case relied on imaging and serology, not bacterial cultures, leading to rapid improvement with antibiotics.
Area of Science:
- Hepatology
- Infectious Diseases
- Medical Imaging
Background:
- Brucellar hepatic abscesses are uncommon, with limited documented cases.
- Brucellosis can manifest with diverse clinical presentations, including hepatic involvement.
Observation:
- A 29-year-old woman presented with fever, weakness, and weight loss.
- Abdominal sonography revealed a hypoechoic liver lesion with central calcification.
Findings:
- Brucella species were not identified in liver aspirates or blood cultures.
- Diagnosis was confirmed by characteristic ultrasound findings and positive Brucella agglutination tests.
Implications:
- This case highlights the importance of considering Brucellosis in hepatic abscesses, even without positive cultures.
- Characteristic imaging findings combined with serological tests can facilitate diagnosis and prompt treatment.
- Early diagnosis and appropriate antibiotic therapy lead to rapid patient recovery.