Uwaydah M, Khalil A, Shamsuddine N, Matar F, Araj G F
Dept. of Internal Medicine, American University of Beirut Medical Center, Lebanon.
Infection. 1998 Mar-Apr;26(2):131-2. doi: 10.1007/BF02767777.
A 37-year-old woman was diagnosed with acute brucellosis. Despite appropriate antimicrobial therapy, high fever persisted. A contrast enhanced CT scan of the abdomen and pelvis revealed a left ovarian dermoid cyst. On the first postoperative day after left ovariectomy and right ovarian cystectomy were performed, the patient defervesced abruptly and continued to be completely afebrile. Cultures from bone marrow and dermoid cyst grew Brucella melitensis. The observation of a Brucella-infected ovarian dermoid cyst, which has not been previously reported, illustrates the importance of localized brucellosis as a cause of persistent infection despite appropriate antimicrobial therapy.
一名37岁女性被诊断为急性布鲁氏菌病。尽管进行了适当的抗菌治疗，但高热仍持续不退。腹部和盆腔增强CT扫描显示左侧卵巢皮样囊肿。在进行左侧卵巢切除术和右侧卵巢囊肿切除术后的第一天，患者体温突然恢复正常，并持续完全无发热。骨髓和皮样囊肿培养出羊种布鲁氏菌。此前未见报道的布鲁氏菌感染的卵巢皮样囊肿的发现，说明了局限性布鲁氏菌病作为尽管进行了适当抗菌治疗但仍持续感染原因的重要性。
