Chourmouzi Danai, Boulogianni Glykeria, Kalomenopoulou Maria, Kanellos Ioannis, Drevelegas Antonios
1Diagnostic Radiology Department, Interbalcan Medical Center, Thessaloniki, 55236, Greece.
Cases J. 2009 Aug 25;2:7143. doi: 10.4076/1757-1626-2-7143.
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.
我们报告了一例年轻女性布鲁氏菌性肝脓肿（布鲁氏瘤）的新病例，该患者既往无布鲁氏菌病病史，表现为明显的全身症状和轻微的局部症状。布鲁氏瘤是巨噬细胞中持续存在的布鲁氏菌诱导的肉芽肿反应钙化的结果。它是先前未被发现的布鲁氏菌病之后出现的一种罕见表现。我们描述了在平片、超声、计算机断层扫描和磁共振成像中的发现。结合阳性血清学检查，影像学检查提供了支持诊断的重要依据。现代放射学技术也有助于最终的治疗管理，避免了不必要的剖腹手术。测序证实了确诊为羊布鲁氏菌是致病因素。
