Ibrahim Dima, Dabbous Helene, Abi Aad Yasmine, Araj George F, Rizk Nesrine A
Faculty of Medicine, American University of Beirut, Beirut, Lebanon.
Department of Internal Medicine, Division of Infectious Diseases, American University of Beirut Medical Center, Beirut, Lebanon.
IDCases. 2019 Jan 9;15:e00485. doi: 10.1016/j.idcr.2019.e00485. eCollection 2019.
Infection with spp. is endemic to the Middle East and the eastern Mediterranean basin. Brucellosis can mimic infectious and non-infectious febrile illnesses and therefore it can pose a diagnostic challenge. A wide range of deep-seated infections have been ascribed to brucellosis including breast abscesses and infections of prosthetic endovascular devices. The latter are usually rare but difficult to treat short of excision of the infected device. Here, we present the case of a middle-aged Lebanese woman who presented with simultaneous breast abscesses and a pacemaker infection due to brucellosis. To our knowledge, a similar manifestation has not been reported in the literature.
感染 spp. 在中东和东地中海盆地为地方病。布鲁氏菌病可类似感染性和非感染性发热性疾病,因此可能带来诊断挑战。多种深部感染被归因于布鲁氏菌病,包括乳腺脓肿和人工血管内装置感染。后者通常罕见,但除非切除感染装置否则难以治疗。在此,我们报告一例中年黎巴嫩女性病例,该患者因布鲁氏菌病同时出现乳腺脓肿和起搏器感染。据我们所知,文献中尚未报道过类似表现。