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磁共振成像(MRI)和正电子发射断层扫描-计算机断层扫描(PET-CT)无法区分肝恶性肿瘤和布鲁氏菌病。

MRI and PET-CT Failed to Differentiate Between Hepatic Malignancy and Brucelloma.

作者信息

Schreiber Peter W, Schmid Adrian, Fagagnini Stefania, Kröger Arne, Vrugt Bart, Reiner Cäcilia S, Boggian Katia, Schiesser Marc, Müllhaupt Beat, Günthard Huldrych F

机构信息

Division of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.

Institute of Medical Virology, University of Zurich, Zurich, Switzerland.

出版信息

Open Forum Infect Dis. 2018 Mar 8;5(4):ofy052. doi: 10.1093/ofid/ofy052. eCollection 2018 Apr.

DOI:10.1093/ofid/ofy052
PMID:29644248
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5887273/
Abstract

Brucellosis is a common, worldwide zoonosis. Clinical presentation is protean and often goes unrecognized. Hepatic brucelloma is a rare local complication of chronic brucellosis. We report a case in which magnetic resonance imaging and positron emission tomography imaging prompted suspicion of a hepatic malignancy. Diagnosis was ultimately made by serology and polymerase chain reaction of resected liver tissue.

摘要

布鲁氏菌病是一种常见的全球性人畜共患病。其临床表现多样,常常未被识别。肝布鲁氏细胞瘤是慢性布鲁氏菌病罕见的局部并发症。我们报告一例,磁共振成像和正电子发射断层扫描成像提示怀疑为肝脏恶性肿瘤。最终通过切除肝脏组织的血清学检查和聚合酶链反应做出诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc15/5887273/9dfed4dc2870/ofy05202.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc15/5887273/9fa3621a85fa/ofy05201.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc15/5887273/9dfed4dc2870/ofy05202.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc15/5887273/9fa3621a85fa/ofy05201.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc15/5887273/9dfed4dc2870/ofy05202.jpg

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The Role of Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography in the Management of Brucellosis: An Observational Cohort Study.氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描在布鲁氏菌病管理中的作用:一项观察性队列研究
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本文引用的文献

1
Hepatic brucelloma.肝布鲁菌病。
Lancet Infect Dis. 2013 Nov;13(11):987-93. doi: 10.1016/S1473-3099(13)70197-X.
2
Hepatic granulomas associated with brucellosis: Hepatic granulomas and brucellosis.与布鲁氏菌病相关的肝脏肉芽肿:肝脏肉芽肿与布鲁氏菌病。
Hepat Mon. 2011 Jan;11(1):1-2.
3
Hepatic abscess caused by Brucella US, CT and MRI findings: case report and review of the literature.
Clin Imaging. 2002 Nov-Dec;26(6):414-7. doi: 10.1016/s0899-7071(02)00507-7.
4
Diagnostic yield of a PCR assay in focal complications of brucellosis.布鲁氏菌病局灶性并发症的聚合酶链反应检测诊断率
J Clin Microbiol. 2001 Oct;39(10):3743-6. doi: 10.1128/JCM.39.10.3743-3746.2001.
5
Current understanding and management of chronic hepatosplenic suppurative brucellosis.慢性肝脾化脓性布鲁氏菌病的当前认识与管理
Clin Infect Dis. 2001 Apr 1;32(7):1024-33. doi: 10.1086/319608. Epub 2001 Mar 19.
6
Hepatosplenic abscesses due to Brucella melitensis: report of a case involving a child and review of the literature.布鲁氏菌病所致肝脾脓肿:1例儿童病例报告及文献复习
Clin Infect Dis. 1996 Mar;22(3):485-9. doi: 10.1093/clinids/22.3.485.
7
Liver disease in brucellosis. A clinical and pathological study of 40 cases.布鲁氏菌病中的肝脏疾病。40例临床与病理研究。
Postgrad Med J. 1982 Jun;58(680):346-50. doi: 10.1136/pgmj.58.680.346.
8
Specific antibody profile in human brucellosis.人类布鲁氏菌病的特异性抗体谱
Clin Infect Dis. 1992 Jan;14(1):131-40. doi: 10.1093/clinids/14.1.131.