[Brucellosis with hepatic lesions: A diagnosis to keep in mind]

Rev Med Interne. 2019 Jan;40(1):43-46. doi: 10.1016/j.revmed.2018.06.006. Epub 2018 Sep 13.
[Article in French]

Abstract

Introduction: Brucellosis is a rare infection in France and its wide spectrum of clinical presentation can be a diagnostic challenge.

Case report: We report here the case of a 76-year-old Tunisian-born woman referred for fatigue, weight loss, intermittent fever, and pain in the right upper quadrant, along with hepatic lesions on CT-scan, MRI and PET-FDG suggesting malignant lesions. However blood cultures were positive to Brucella melitensis leading to a diagnosis of hepatic brucelloma.

Conclusion: Hepatic abscesses are rare in brucellosis. This infection has to be evoked in patients coming from endemic areas even with atypical manifestations.

Keywords: Abcès hépatiques; Brucella melitensis; Brucellose; Brucellosis; Cytolytic hepatitis; Hepatic abscesses; Hépatite cytolytique.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Brucella melitensis / isolation & purification*
  • Brucellosis / complications
  • Brucellosis / diagnosis*
  • Brucellosis / drug therapy
  • Female
  • Humans
  • Liver / pathology
  • Liver Abscess / diagnosis*
  • Liver Abscess / microbiology
  • Magnetic Resonance Imaging
  • Positron-Emission Tomography
  • Tomography, X-Ray Computed

Substances

  • Anti-Bacterial Agents