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[Splenic abscess caused by Brucella abortus]

L L dos Santos-Neto1, G P Costa, C K Simaan

  • 1Departamento de Clínica Médica, Hospital Universitário de Brasília, Universidade de Brasília, DF, Brasil. leoneto@uninet.com.br

Revista Da Sociedade Brasileira De Medicina Tropical
|February 3, 1999
PubMed
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This case report details a 23-year-old man with prolonged fever due to Brucella abortus infection. An unusual spleen abscess, detected via CT scan, resolved completely with antibiotic treatment.

Area of Science:

  • Infectious Diseases
  • Internal Medicine
  • Radiology

Background:

  • Brucella abortus is a zoonotic pathogen causing brucellosis, a systemic infection.
  • Prolonged fever is a common but nonspecific symptom of brucellosis.
  • Splenic involvement in brucellosis, while possible, is infrequently reported.

Observation:

  • A 23-year-old male presented with persistent fever attributed to Brucella abortus infection.
  • Computer tomography (CT) of the abdomen revealed an uncommon spleen abscess.
  • The patient's clinical presentation included prolonged febrile illness.

Findings:

  • Diagnosis of Brucella abortus infection confirmed.
  • Identification of a splenic abscess as an unusual complication.

Related Experiment Videos

  • Successful treatment with antibiotics leading to lesion regression.

    • Implications:

    • Highlights the importance of considering Brucella in febrile illnesses, even with atypical presentations.
    • Emphasizes the utility of advanced imaging like CT in diagnosing complications of brucellosis.
    • Demonstrates the efficacy of standard antibiotic regimens in managing complex Brucella infections, including splenic abscesses.