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Brucellosis As a Cause of Intestinal Perforation

Iffat Noureen1, Muhammad Hamza2, Huma Sabir Khan1

  • 1Surgical Unit II, Benazir Bhutto Hospital, Rawalpindi Medical University, Rawalpindi, PAK.

Cureus
|April 1, 2020
PubMed

Insights

Brucellosis, a zoonotic infection, can rarely cause acute abdominal symptoms. This case report details a patient with ileal perforation due to brucellosis, requiring surgical intervention.

Area of Science:

  • Infectious Diseases
  • Gastroenterology
  • Surgical Case Reports

Background:

  • Brucellosis is a significant zoonotic infection affecting multiple organ systems.
  • Typical presentations include fever and non-specific systemic symptoms.
  • Rarely, brucellosis can manifest with an acute abdomen, mimicking surgical emergencies.

Observation:

  • A 32-year-old male presented with symptoms indicative of an acute abdomen.
  • Diagnostic exploration revealed an ileal perforation.
  • The perforation was identified as being secondary to brucellosis.

Findings:

  • Ileal perforation is an uncommon but serious complication of brucellosis.
  • Surgical management, including loop ileostomy, was necessary for this patient.
  • This highlights the diverse clinical spectrum of brucellosis.

Implications:

  • Clinicians should consider brucellosis in the differential diagnosis of acute abdomen, especially in endemic areas.
  • Early recognition and appropriate treatment are crucial to prevent severe complications.
  • This case underscores the importance of considering zoonotic infections in abdominal emergencies.
Keywords:
acute abdomenappendicitisbrucellosisileitisileostomyintestinal perforation

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