Timur Ozge Metin, Tanır Gönül, Afşarlar Cağatay Evrim, Bayhan Gülsüm Iclal, Ozgüner Ismet Faruk
Dr. Sami Ulus Maternity and Children's Research and Education Hospital, Ankara, Turkey.
Turkiye Parazitol Derg. 2013;37(2):147-50. doi: 10.5152/tpd.2013.32.
A 15-year-old girl, who was evaluated for arthralgia of knees, was diagnosed as having brucellosis by serum agglutination and enzyme linked immunosorbent assay tests. Physical examination of the patient revealed massive hepatomegaly. Abdominal ultrasonography and computerised tomography showed a single large cystic lesion of the liver. The echinococcus indirect haemagglutination was positive at a titre of 1/1280. A giant hydatid cyst was removed with surgical intervention; in addition, she was treated with albendazole and antibrucellosis drug combination with success. Here, an immunocompetent adolescent case with brucellosis and concomitant hydatid cyst disease was reported to emphasise that the coexistence of both entities are infrequent but may occur due to increased prevalence of the diseases.
一名15岁女孩因膝关节疼痛接受评估，通过血清凝集试验和酶联免疫吸附试验被诊断为布鲁氏菌病。对该患者的体格检查发现肝脏肿大明显。腹部超声和计算机断层扫描显示肝脏有一个单一的大囊性病变。棘球蚴间接血凝试验呈阳性，滴度为1/1280。通过手术干预切除了一个巨大的包虫囊肿；此外，她接受了阿苯达唑和抗布鲁氏菌病药物联合治疗，取得了成功。在此，报告了一例具有免疫能力的青少年同时患有布鲁氏菌病和包虫囊肿病的病例，以强调这两种疾病并存的情况虽不常见，但由于疾病患病率增加可能会发生。
