Infectious Diseases Unit, Raymond Poincaré Teaching Hospital, AP-HP, Versailles Saint-Quentin University, Garches, France.
Infectious Diseases Unit, Raymond Poincaré Teaching Hospital, AP-HP, Versailles Saint-Quentin University, Garches, France; UMR 1173, Université Paris Saclay, Montigny le Bretonneux, France.
Int J Infect Dis. 2022 Sep;122:276-278. doi: 10.1016/j.ijid.2022.05.054. Epub 2022 May 28.
We report the case of a 58-year-old immunocompetent man from Algeria, who presented to the hospital with fever and hepatic cytolysis. Abdominal computed tomography scan showed a homogeneous splenomegaly and a hypodense 12-mm mass on the posterior wall of the esophagus. After ruling out tuberculosis, the patient was diagnosed with brucellosis. Patient was cured after receiving 6 weeks of oral doxycycline and intravenous gentamicin during the 7 first days of therapy. Such treatment was considered as an acceptable alternative of the recommended first-line therapy. This case illustrates the diagnostic issues in the context of an authentic brucellosis presenting as upper gastrointestinal symptoms, with impaired general condition.
我们报告了一例 58 岁的免疫功能正常的阿尔及利亚男性患者，他因发热和肝细胞溶解到医院就诊。腹部计算机断层扫描显示脾肿大均匀，食管后壁有一个 12 毫米的低密病灶。排除结核病后，患者被诊断为布鲁氏菌病。在治疗的前 7 天静脉内给予庆大霉素和口服多西环素 6 周后，患者痊愈。这种治疗被认为是推荐的一线治疗的可接受替代方案。该病例说明了在以上胃肠道症状和一般状况不佳为表现的真性布鲁氏菌病的情况下的诊断问题。
