Hamon A, Lecadet A, Amiot X, Boudghene F, Verdet C, Ohnona J, Georgin-Lavialle S, Bachmeyer C
Service de médecine interne, hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France.
Service d'hépato-gastro-entérologie, hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France.
Rev Med Interne. 2019 Jan;40(1):43-46. doi: 10.1016/j.revmed.2018.06.006. Epub 2018 Sep 13.
Brucellosis is a rare infection in France and its wide spectrum of clinical presentation can be a diagnostic challenge.
We report here the case of a 76-year-old Tunisian-born woman referred for fatigue, weight loss, intermittent fever, and pain in the right upper quadrant, along with hepatic lesions on CT-scan, MRI and PET-FDG suggesting malignant lesions. However blood cultures were positive to Brucella melitensis leading to a diagnosis of hepatic brucelloma.
Hepatic abscesses are rare in brucellosis. This infection has to be evoked in patients coming from endemic areas even with atypical manifestations.
布鲁氏菌病在法国是一种罕见的感染病，其广泛的临床表现可能构成诊断挑战。
我们在此报告一例76岁出生于突尼斯的女性病例，该患者因疲劳、体重减轻、间歇性发热、右上腹疼痛就诊，CT扫描、MRI和PET-FDG检查显示肝脏有病变，提示为恶性病变。然而，血培养结果显示羊种布鲁氏菌阳性，最终诊断为肝布鲁氏细胞瘤。
布鲁氏菌病患者出现肝脓肿的情况较为罕见。即使临床表现不典型，对于来自疫区的患者也应考虑到这种感染病。
