[Nodular liver lesions with fever in a Moroccan man: hepatic brucelloma].
Hepatic brucelloma is an exceptional localization in brucellosis. The purpose of this report is to describe an uncommon case involving a 42-year-old man hospitalized for febrile hepatic cytolysis. Diagnosis was established based on positive rose bengal test results, positive blood culture, hypoechogenic masses on ultrasound, and hypodense enhancing masses on CT scan. Hepatic brucelloma is a focal suppurative lesion occurring after undetected acute brucellosis or undertreated brucellosis. Diagnosis is based on the association of imaging showing characteristic features (hepatic calcifications) and on positive blood culture and serology. First-line treatment should consist of doxycyclin and rifampicin for 2 to 12 months. If medical treatment fails, surgical drainage should be performed.
Ennibi
K
K
Service de médecine interne, Hôpital militaire d'instruction Mohammed-V Rabat, Maroc. kennibi@yahoo.fr
Rabhi
M
M
Chemsi
M
M
Elouennass
M
M
Chaari
J
J
Toloune
F
F
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017347:Brucella melitensis / Q000302:isolation & purification; D002006:Brucellosis / Q000175:diagnosis* / Q000188:drug therapy; D003952:Diagnostic Imaging; D005334:Fever / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008099:Liver / Q000382:microbiology* / Q000473:pathology; D008297:Male; D009018:Morocco
D000900:Anti-Bacterial Agents