Hepatic brucelloma

Area of Science:

• Infectious Diseases
• Hepatology
• Microbiology

Background:

• Brucellosis is a globally prevalent zoonotic disease with diverse clinical presentations.
• Hepatic brucelloma, a rare complication, involves abscess formation in the liver due to Brucella melitensis infection.

Observation:

• A 59-year-old male presented with hepatic brucelloma 33 years after a resolved acute brucellosis episode.
• Radiological assessment showed a decrease in lesion size following treatment.

Findings:

• Diagnosis was confirmed through laboratory, radiological, and histological findings.
• Prolonged combined antibiotic therapy led to symptom recovery and lesion reduction.
• Surgical intervention was not required for treatment.

Implications:

• This case highlights the potential for late-onset hepatic brucelloma years after initial brucellosis.
• It underscores the efficacy of prolonged antibiotic regimens in managing hepatic brucelloma.
• The findings contribute to understanding the long-term complications and management of brucellosis.