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Related Concept Videos

Diseases of the Liver and Gallbladder01:26

Diseases of the Liver and Gallbladder

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Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
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Related Experiment Video

Updated: Jul 30, 2025

Microscopy-based Assays for High-throughput Screening of Host Factors Involved in Brucella Infection of Hela Cells
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Brucellosis-associated hepatitis.

Yusuf Arslan1, Ali İrfan Baran2, Mehmet Çelik3

  • 1Department of Infectious Diseases and Clinical Microbiology, Batman Training and Research Hospital, Batman, Turkey. dryusufarsln@gmail.com.

Irish Journal of Medical Science
|May 16, 2023
PubMed
Summary
This summary is machine-generated.

Brucellosis can cause rare cases of hepatitis, but appropriate treatment leads to high rates of clinical and laboratory improvement. Chronic liver disease did not develop in any patients, indicating a good prognosis with timely intervention.

Keywords:
BrucellosisCholestasisHepatitisLiver involvement

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Area of Science:

  • Infectious Diseases
  • Hepatology
  • Microbiology

Background:

  • Brucellosis is a zoonotic disease with potential for multi-organ involvement.
  • While mild aminotransferase elevation is common, clinical hepatitis is a rare manifestation of brucellosis.
  • This study focuses on hospitalized patients with confirmed brucellosis hepatitis.

Purpose of the Study:

  • To describe the clinical characteristics and outcomes of hospitalized brucellosis hepatitis cases.
  • To evaluate the effectiveness of treatment in patients with brucellosis-induced liver involvement.
  • To identify factors influencing recovery time in brucellosis hepatitis.

Main Methods:

  • Retrospective analysis of 103 patients with significant hepatobiliary brucellosis over 13 years.
  • Hepatitis diagnosis based on elevated aminotransferases (≥5x ULN), elevated bilirubin (≥2 mg/dL), and/or hepatic lesions.
  • Microbiological analysis confirmed brucellosis diagnosis.

Main Results:

  • Hepatitis presentations included clinical (35.9%), cholestatic (17.5%), and mixed (46.6%).
  • Fever was the most common symptom (85.4%); aminoglycoside-based regimens were preferred treatments.
  • Mean normalization time for ALT, AST, and bilirubin was 15.2 days; no chronic liver disease developed.

Conclusions:

  • Brucellosis hepatitis shows a high clinical and laboratory response to appropriate treatment.
  • Blood culture positivity, secondary organ involvement, and AST/ALT ratio >1 were associated with delayed laboratory improvement.
  • Brucellosis hepatitis has a favorable prognosis with effective management, avoiding chronic liver disease development.