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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
Splenic abscess due to acute brucellosis.
Mehmet Deveer1, Hamdi Sozen, Nesat Çullu
1Department of Radiology, School of Medicine, Mugla Sitki Kocman University, Mugla, Turkey. deveer3@hotmail.com
BMJ Case Reports
|April 13, 2013
Summary
A rare splenic abscess caused by Brucella infection was successfully treated with antibiotics alone in a young man. This case highlights a non-surgical approach for splenic abscesses due to acute brucellosis.
Area of Science:
- Infectious Diseases
- Radiology
- Internal Medicine
Background:
- Splenic abscesses are uncommon, and those associated with acute brucellosis are particularly rare.
- Brucellosis is a zoonotic infection that can manifest with diverse clinical presentations.
Purpose of the Study:
- To report a rare case of splenic abscess secondary to acute brucellosis.
- To illustrate the diagnostic findings and successful non-surgical management of this condition.
Main Methods:
- A 21-year-old male presented with symptoms suggestive of brucellosis.
- Magnetic Resonance Imaging (MRI) was utilized to visualize splenic lesions.
- Diagnosis was confirmed through serological (Wright agglutination test) and microbiological (blood culture) methods.
Main Results:
- MRI identified sharply demarcated splenic lesions measuring 20 and 30 mm.
- Positive Wright agglutination test and blood cultures confirmed Brucella infection.
- The patient responded well to antibiotic therapy without requiring surgical intervention.
Conclusions:
- Splenic abscess can be a rare complication of acute brucellosis.
- Antibiotic therapy alone can be effective in treating splenic abscesses caused by Brucella.
- This case underscores the importance of considering brucellosis in the differential diagnosis of splenic abscesses.
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