title: Brucellosis hip abscess without risk factor.
abstract: Brucellosis has become a rare entity in many industrialised countries, because of animal vaccination programs. We report a first case in the literature of Brucella abscess in the hip region observed in Switzerland in a subject without any clear risk factor, leading us to conclude that abscess formation can be a rare manifestation of brucellosis. Because it can present in many different forms and locations without having characteristic clinics, a high index of suspicion is needed for the diagnosis even if the patient is a healthy athlete with no clear way of obvious route for contamination, and this even more if all the common causes of athletic hip pain have been ruled out.
authors.affiliation: Department of Musculoskeletal Medicine, University Hospital, OTR-BH 14, CHUV, Lausanne, Switzerland. Elyazid.Mouhsine@hospvd.ch
authors.forename: Elyazid
authors.initials: E
authors.lastname: Mouhsine
authors.forename: Alain
authors.initials: A
authors.lastname: Akiki
authors.forename: Raffaele
authors.initials: R
authors.lastname: Garofalo
mesh_terms: D000077:Acetabulum / Q000000981:diagnostic imaging / Q000382:microbiology*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001265:Athletic Injuries / Q000175:diagnosis; D002006:Brucellosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000453:epidemiology / Q000601:surgery; D003131:Combined Modality Therapy; D003475:Curettage; D003951:Diagnostic Errors; D004322:Drainage; D004359:Drug Therapy, Combination; D006615:Hip; D025981:Hip Injuries / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009220:Myositis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D010000:Osteitis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D010146:Pain / Q000209:etiology*; D015641:Radiography, Interventional; D012086:Reoperation; D012307:Risk Factors; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents