[Subphrenic abscess during the course of acute brucellosis: diagnosis and treatment with percutaneous sonographically-guided drainage].
Abscess formation during the course of acute brucellosis is a rare event. A case of subphrenic abscess, the first to our knowledge, is described. A 49 years-old male patient with fever and a mild increase in ALT and gamma-GT was referred to our Institution. Routine blood exams tested negative and antibodies against Brucella spp. Were also negative. CT examination of abdomen was normal. After 8 days, US examination showed a liquid area under the right diaphragma and US-guided puncture revealed an abscess; pus culture showed the presence of Brucella melitensis. Seven days later theWright reaction became positive. After percutaneous catheter drainage of the abscess, fever disappeared and US follow-up showed reconstitution of subphrenic space. Our study confirm that sonography is a valid method to demonstrate abdominal abscess and that US-guided percutaneous puncture and drainage are useful tools in diagnosis and treatment of fluid abdominal collections
IX Divisione di Malattie Infettive, Servizio di Ecografia ed Ecointerventistica e VII Divisione di Malattie Infettive, A. O. "D. Cotugno", Napoli, Italy
Antonio
A
Giorgio
Giorgio
G
de Stefano
Luciano
L
Tarantino
Giulia
G
Liorre
Vincenzo
V
Scala
Raffaele
R
De Sena
D000208:Acute Disease; D002006:Brucellosis / Q000150:complications*; D004322:Drainage / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D013369:Subphrenic Abscess / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D014463:Ultrasonography