布鲁氏菌病所致脾脓肿：一例病例报告及文献复习

Splenic abscess due to brucellosis: a case report and a review of the literature.

作者信息

Yilmaz Mesut, Arslan Ferhat, Başkan Ozdil, Mert Ali

机构信息

Infectious Diseases and Clinical Microbiology Department, Istanbul Medipol University, School of Medicine, Unkapanı, Atatürk Bulvarı No .27, 34083 Fatih Istanbul, Turkey.

出版信息

Int J Infect Dis. 2014 Mar;20:68-70. doi: 10.1016/j.ijid.2013.11.010. Epub 2014 Jan 13.

DOI:10.1016/j.ijid.2013.11.010

PMID:24433982

Abstract

Splenic abscess due to acute brucellosis is a rare event. We report a case of multiple splenic abscesses caused by Brucella melitensis in a 45-year-old woman and review the English language literature based on a PubMed/MEDLINE search of the last 50 years. The majority of the cases published in the literature were due to B. melitensis and a splenectomy was required in half of the cases. Antibiotics alone without surgical intervention can be successful in the treatment of patients with splenic brucellosis in the early stages of the disease.

摘要

急性布鲁氏菌病所致脾脓肿是一种罕见的情况。我们报告一例45岁女性由羊布鲁氏菌引起的多发性脾脓肿病例，并基于对过去50年PubMed/MEDLINE数据库的检索回顾英文文献。文献中报道的大多数病例由羊布鲁氏菌引起，半数病例需要行脾切除术。在疾病早期，仅用抗生素而不进行手术干预治疗脾布鲁氏菌病患者可能成功。