Splenic abscess due to brucellosis

  • Kamuran Sayilir Infectious Disease Department, Ankara Oncology Hospital, Ankara
  • Gulsen Iskender Infectious Disease Department, Ankara Oncology Hospital, Ankara
  • Mustafa Cihat Ogan Infectious Disease Department, Ankara Oncology Hospital, Ankara
  • Filiz Erdil Radiology Department, Ankara Oncology Hospital, Ankara
Keywords: Brucellosis, splenic abscess, treatment

Abstract

Splenic abscess due to Brucella spp. is extremely rare. We report a case of a splenic abscess due to Brucella spp. in a 61-year-old male patient. Brucella slide and tube agglutination tests (Wright) were positive while blood culture and culture from splenic tissue yielded negative results. The abdominal ultrasonography revealed a hypoechoic intrasplenic mass 15x12 mm in diameter at the middle portion of the spleen. The splenic lesions disappeared after prolonged treatment for 7 months with a combination of doxycycline, and rifampicin, followed by TMP-SXT. Brucella spp. should be considered in the differential diagnosis of splenic abscess in countries where brucellosis is endemic. The results of this case and literature review shows that a conservative approach using optimum antibiotics alone without surgical intervention can be successful in the treatment of patients with splenic brucellosis.

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Published
2008-10-01
How to Cite
1.
Sayilir K, Iskender G, Ogan MC, Erdil F (2008) Splenic abscess due to brucellosis. J Infect Dev Ctries 2:394-396. doi: 10.3855/jidc.204
Section
Case Reports