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Brucella haemorrhagic pleural effusion

S A Papiris1, M A Maniati, A Haritou

  • 1Dept of Internal Medicine, University of Ioannina, Greece.

The European Respiratory Journal
|July 1, 1994
PubMed
Summary

Brucella melitensis (BM) can cause rare respiratory infections. This case highlights BM presenting as hemorrhagic pleural effusion, emphasizing its consideration in undiagnosed effusions.

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Area of Science:

  • Infectious Diseases
  • Pulmonology
  • Microbiology

Background:

  • Brucella melitensis (BM) is an uncommon cause of respiratory illness.
  • Pulmonary involvement typically manifests in subacute or chronic stages, with conditions like pleurisy, empyema, and pneumonia.

Observation:

  • A patient presented with a rare instance of BM-induced hemorrhagic pleural effusion.
  • The pleural fluid exhibited characteristic abnormalities: low pH and low glucose levels.
  • Cultures of the pleural fluid confirmed the presence of Brucella melitensis.

Findings:

  • This case demonstrates Brucella melitensis as a causative agent of hemorrhagic pleural effusion.
  • The diagnostic utility of pleural fluid analysis (pH, glucose, cultures) was crucial in identifying the pathogen.

Implications:

  • Brucellosis should be included in the differential diagnosis for patients with persistent pleural effusions of unknown origin.
  • Early consideration of Brucella melitensis can lead to timely diagnosis and appropriate management of respiratory infections.

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