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Brucella liver abscess; imaging approach, differential diagnosis, and therapeutic management: a case report.

ΤίτλοςBrucella liver abscess; imaging approach, differential diagnosis, and therapeutic management: a case report.
Publication TypeJournal Article
Year of Publication2009
AuthorsChourmouzi, D., Boulogianni G., Kalomenopoulou M., Kanellos I., & Drevelegas A.
JournalCases J
Volume2
Pagination7143
Date Published2009
ISSN1757-1626
Abstract

We report a new case of a brucellar liver abscess (brucelloma) in a young woman without previous remote brucellosis who presented with pronounced systemic and mild local symptoms. Brucelloma is the result of calcification of a granoulomatous reaction induced by persistent Brucella in macrophages. It represents a rare manifestation that follows previously undetected brucellosis. We describe the findings in plain radiograph, ultrasound, computed tomography, and magnetic resonance images. Together with the positive serology, imaging yielded important elements supporting the diagnosis. Modern radiological techniques also contributed to the final therapeutic management, preventing unnecessary laparotomy. Sequencing confirmed the definite diagnosis of Brucella melitensis as the causative factor.

DOI10.4076/1757-1626-2-7143
Alternate JournalCases J
PubMed ID19918510
PubMed Central IDPMC2769340

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