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Perforation of the terminal ileum caused by brucellosis: A case report
Chun Wang1, Xiaoran Yang1, Jia Zhou1
1General Surgery Ningxia People's Hospital (The third Affiliated Hospital of Ningxia Medical University) Yinchuan City China.
Abstract:
Brucellosis, caused by gram-negative coccobacilli of the genus Brucella, is a zoonotic disease with bone and joint complications being common. However, acute abdomen with intestinal perforation is rare. We present a case of a 69-year-old man diagnosed with acute diffuse peritonitis and intestinal perforation due to Brucella infection. Surgical intervention revealed ileocecal perforation with wheel spoke-like necrosis. The patient underwent partial resection, ileum closure, and ileostomy. Positive blood culture and Brucella agglutination confirmed the diagnosis. Targeted tetracycline and aminoglycoside treatment led to recovery.
Insights
Brucellosis, a zoonotic infection, rarely causes intestinal perforation. This case highlights a rare presentation of acute abdomen due to Brucella infection, successfully treated with surgery and antibiotics.
Area of Science:
- Infectious Diseases
- Gastroenterology
- Surgical Case Report
Background:
- Brucellosis is a zoonotic infection commonly presenting with bone and joint issues.
- Intestinal perforation is an exceptionally rare complication of Brucellosis.
Observation:
- A 69-year-old male presented with acute diffuse peritonitis and intestinal perforation.
- Surgical findings included ileocecal perforation with characteristic wheel spoke-like necrosis.
Findings:
- Diagnosis was confirmed by positive blood cultures and Brucella agglutination tests.
- The patient received targeted antibiotic therapy with tetracycline and aminoglycosides.
Implications:
- This case underscores the importance of considering Brucellosis in patients with unexplained acute abdomen and intestinal perforation.
- Prompt surgical intervention and appropriate antibiotic treatment are crucial for favorable outcomes in rare Brucellosis complications.
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