Débat-Zoguéreh D, Badiaga S, Uzan E, Le Treut Y P, Lebreuil G, Bourgeade A
Service des maladies tropicales et infectieuses, hôpital Félix-Houphouet-Boigny, Marseille, France.
Rev Med Interne. 1995;16(1):63-6. doi: 10.1016/0248-8663(96)80666-7.
The authors report on a case of febrile necrotizing brucellosis hepatic granulomatosis in a patient living in brucellosis endemia areas. This hepatic localization of brucellosis is rare: to our knowledge only 28 cases have been described in the literature. The bacteriological diagnosis was not established by blood or abscess pus cultures, but by Brucella serology only. Surgery completed by biantibiotherapy have permitted a complete recovery.
作者报告了一例生活在布鲁氏菌病流行地区的患者发生的发热性坏死性布鲁氏菌病肝肉芽肿病例。布鲁氏菌病的这种肝脏定位很罕见:据我们所知,文献中仅描述了28例。细菌学诊断不是通过血液或脓肿脓液培养确定的,而是仅通过布鲁氏菌血清学确定的。手术联合双抗生素治疗使患者完全康复。