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A Case of Brucellosis Presenting with Multiple Hypodense Splenic Lesions and Bilateral Pleural Effusions

Brucellosis is a zoonotic infectious disease, which mainly present with lymphoreticular system invovement. However any organ system can be attacked by the microorganism. In this paper we present a 52-year-old female patient who was admitted to the Infectious Diseases Department with complaints of fa...

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Autores principales: Eruz, Emine Dilek, Birengel, Serhat, Azap, Alpay, Bozkurt, Gulden Yilmaz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3114544/
https://www.ncbi.nlm.nih.gov/pubmed/21687542
http://dx.doi.org/10.1155/2011/614546
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author Eruz, Emine Dilek
Birengel, Serhat
Azap, Alpay
Bozkurt, Gulden Yilmaz
author_facet Eruz, Emine Dilek
Birengel, Serhat
Azap, Alpay
Bozkurt, Gulden Yilmaz
author_sort Eruz, Emine Dilek
collection PubMed
description Brucellosis is a zoonotic infectious disease, which mainly present with lymphoreticular system invovement. However any organ system can be attacked by the microorganism. In this paper we present a 52-year-old female patient who was admitted to the Infectious Diseases Department with complaints of fatigue, arthralgias, fever, and weight loss. In the medical examination and radiological analysis bilateral pleural effusions and hepatosplenomegaly were detected. Serum transaminase levels were two times higher than the upper limits of normal. Abdominal ultrasound revealed sludge in the gallbladder and multiple hypodense splenic lesions (the largest was 1 cm in diameter). Brucella melitensis was isolated from the blood culture of the patient. Rifampicin (600 mg/day) and doxycycline (200 mg/day) therapy was started. Follow-up chest radiography and ultrasonography revealed the absence of pleural effusion. Splenic lesions and hepatosplenomegaly were totally regressed. The patient has been followed for 3 months after 6 week antibiotic regimen without recurrence. Brucellosis was expected to be the cause of all pathological signs.
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spelling pubmed-31145442011-06-17 A Case of Brucellosis Presenting with Multiple Hypodense Splenic Lesions and Bilateral Pleural Effusions Eruz, Emine Dilek Birengel, Serhat Azap, Alpay Bozkurt, Gulden Yilmaz Case Rep Med Case Report Brucellosis is a zoonotic infectious disease, which mainly present with lymphoreticular system invovement. However any organ system can be attacked by the microorganism. In this paper we present a 52-year-old female patient who was admitted to the Infectious Diseases Department with complaints of fatigue, arthralgias, fever, and weight loss. In the medical examination and radiological analysis bilateral pleural effusions and hepatosplenomegaly were detected. Serum transaminase levels were two times higher than the upper limits of normal. Abdominal ultrasound revealed sludge in the gallbladder and multiple hypodense splenic lesions (the largest was 1 cm in diameter). Brucella melitensis was isolated from the blood culture of the patient. Rifampicin (600 mg/day) and doxycycline (200 mg/day) therapy was started. Follow-up chest radiography and ultrasonography revealed the absence of pleural effusion. Splenic lesions and hepatosplenomegaly were totally regressed. The patient has been followed for 3 months after 6 week antibiotic regimen without recurrence. Brucellosis was expected to be the cause of all pathological signs. Hindawi Publishing Corporation 2011 2011-05-25 /pmc/articles/PMC3114544/ /pubmed/21687542 http://dx.doi.org/10.1155/2011/614546 Text en Copyright © 2011 Emine Dilek Eruz et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Eruz, Emine Dilek
Birengel, Serhat
Azap, Alpay
Bozkurt, Gulden Yilmaz
A Case of Brucellosis Presenting with Multiple Hypodense Splenic Lesions and Bilateral Pleural Effusions
title A Case of Brucellosis Presenting with Multiple Hypodense Splenic Lesions and Bilateral Pleural Effusions
title_full A Case of Brucellosis Presenting with Multiple Hypodense Splenic Lesions and Bilateral Pleural Effusions
title_fullStr A Case of Brucellosis Presenting with Multiple Hypodense Splenic Lesions and Bilateral Pleural Effusions
title_full_unstemmed A Case of Brucellosis Presenting with Multiple Hypodense Splenic Lesions and Bilateral Pleural Effusions
title_short A Case of Brucellosis Presenting with Multiple Hypodense Splenic Lesions and Bilateral Pleural Effusions
title_sort case of brucellosis presenting with multiple hypodense splenic lesions and bilateral pleural effusions
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3114544/
https://www.ncbi.nlm.nih.gov/pubmed/21687542
http://dx.doi.org/10.1155/2011/614546
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