A case of splenic infarct due to brucellosis

Year 2018, Volume: 10 Issue: 1, 77 - 80, 05.04.2018

Kader Arslan Salih Cesur Esra Yüksekkaya Çiğdem Ataman Hatipoğlu Esra Kaya Kılıç Sami Kınıklı

https://doi.org/10.21601/ortadogutipdergisi.335946

Abstract

Brucellosis is a zoonotic infectious disease that involves the tissues and
organs of the reticuloendothelial system. Although splenomegaly may be seen in
brucellosis, spleen abscess or spleen
infarction has rarely been reported. Left upper quadrant pain and fever are the
most common symptoms in splenic infarction. In this article, we present a
79-year-old woman with splenic infarction due to brucellosis; she had
splenectomy and was treated with antimicrobial therapy for brucellosis. 

Keywords

Brucellosis, splenic infarction, organ involvement

Bruselloza bağlı dalak infarktı gelişen olgu

Abstract

Bruselloz retiküloendotelyal
sistem doku ve organlarını tutan zoonotik bir infeksiyondur. Brusellozda
splenomegali görülebilmesine rağmen dalak apsesi veya dalak infarktı nadiren
bildirilmiştir. Dalak infarktında sol üst kadran ağrısı ve ateş en sık görülen
semptomlardır. Bu yazıda, bruselloza bağlı dalak infarktı gelişen ve
splenektomi ve bruselloza yönelik antimikrobiyal tedavi uygulanan 79 yaşında
bir kadın hasta sunuldu. 

Keywords

Bruselloz, dalak infarktı, organ tutulumu

References

• 1. Edward J Young. : Brucella species. In: Gerald L. Mandell, John E. Bennett, eds. Principles and Practice of Infec¬tious Diseases. 7th edn. New York: Churchill Livingstone; 2010: 2921-2926.
• 2. Gul HC, Erdem H. Brucellosis (Brucella species). In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: 2584-2589. e3.
• 3. Alyousef M, Enani M, Elkhatim M. Acute Brucellosis with Splenic Infarcts: A Case Report from a Tertiary Care Hospital in Saudi Arabia. Case Rep Infect Dis. 2015; 2015: 940537.
• 4. Uçmak F, Uçmak D, Beştaş R, Anli RA, Adanir H. Acute brucellosis associated with leukocytoclastic vasculitis and splenic infarct. Infez Med. 2014; 22(4): 326-30.
• 5. Salgado F, Grana M, Ferrer V, Lara A, Fuentes. Splenic infarction associated with acute Brucella mellitensis infection. Eur J Clin Microbiol Infect Dis. 2002; 21(1): 63-4.
• 6. Ruggeri C, Tulino V, Foti T, et al. Brucellosis and splenic infarction: a case in pediatric age. Minerva Pediatr. 2001; 53(6): 577-9.
• 7. J. H. Lee, Y. M. Lee, C. H. Lee, C. S. Choi, T. H. Kim. “Splenic infarction associated with brucellosis in a non-endemic area,” Infection and Chemotherapy, vol. 42, no. 1, article 48, 2010.
• 8. Yilmaz M, Arslan F, Baskan O, Mert A. Splenic abscess due to brucellosis: a case report and a review of the literature. Int. J. Infect. Dis. 20, 68-70, 2014.
• 9. Demirdal T, Okur N, Demirturk N. Spontaneous splenic rupture with hematoma in a patient with brucellosis. Chang. Gung. Med. J. 34, 52-55, 2011.
• 10. Del Arco A, De La Torre-Lima J, Prada JL, et al. Splenic abscess due to Brucella infection: is the splenectomy necessary? Case report and literature review. Scand J Infect Dis 2007; 39: 379–81.