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Brucellosis complicated by aortitis and thyroiditis: a case report.

Tamer R Abuelsamen1, Hala Alzaghloul1, Hussam H Alhawari2

  • 1School of Medicine, The University of Jordan, Amman, Jordan.

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Summary

This case study highlights successful antibiotic management for brucellosis-related aortitis, a rare complication. It also explores the potential autoimmune link in Brucella-induced thyroid disease.

Keywords:
AortitisBrucellaJordanSacroiliitisSpondylodiskitisThyroiditis

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Area of Science:

  • Infectious Diseases
  • Cardiovascular Medicine
  • Endocrinology

Background:

  • Brucellosis is a common zoonotic disease with diverse complications.
  • Aortitis and thyroiditis are rare but serious manifestations of brucellosis.
  • Limited data exists on managing these specific complications.

Purpose of the Study:

  • To report a case of brucellosis with rare complications of aortitis and thyroiditis.
  • To emphasize successful conservative management of aortitis with antibiotics alone.
  • To investigate the potential autoimmune basis of Brucella-induced thyroid disease.

Main Methods:

  • A case presentation of a 58-year-old male with prolonged fever and brucellosis.
  • Documentation of associated abdominal aortitis, subacute thyroiditis, sacroiliitis, and spondylodiskitis.
  • Review of clinical course focusing on aortitis and thyroiditis management and outcomes.

Main Results:

  • Successful conservative management of abdominal aortitis using antibiotics alone.
  • Identification of subacute thyroiditis linked to autoimmune markers in a patient with multinodular goiter.
  • Positive long-term outcome with the patient remaining well after three years.

Conclusions:

  • Physicians must recognize aortitis and thyroiditis as potential brucellosis complications.
  • Antibiotic therapy alone can be effective for aortitis in high-risk surgical patients.
  • Subacute thyroiditis in brucellosis may stem from an autoimmune mechanism.