[伴有肝脏病变的布鲁氏菌病：需牢记的一种诊断]
[Brucellosis with hepatic lesions: A diagnosis to keep in mind].
作者信息
Hamon A, Lecadet A, Amiot X, Boudghene F, Verdet C, Ohnona J, Georgin-Lavialle S, Bachmeyer C
机构信息
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.
出版信息
Rev Med Interne. 2019 Jan;40(1):43-46. doi: 10.1016/j.revmed.2018.06.006. Epub 2018 Sep 13.
INTRODUCTION
Brucellosis is a rare infection in France and its wide spectrum of clinical presentation can be a diagnostic challenge.
CASE REPORT
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.
CONCLUSION
Hepatic abscesses are rare in brucellosis. This infection has to be evoked in patients coming from endemic areas even with atypical manifestations.
引言
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。
病例报告
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。
结论
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。
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