A rare case of anterior mediastinal mass caused by Brucella infection.
A previously healthy man, who had undergone coronary artery bypass 10 years earlier and had been diagnosed with brucellosis due to Brucella septicemia after Brucella arthritis, presented with chest pain and high fever. Anti- Brucella antibiotics were started, but after 4 weeks, his high fever remained. An infected mass was confirmed by computed tomography, and surgical intervention was performed via a median sternotomy. A large amount of thick pus gushed from an abscess in the upper mediastinum. The abscess cavity had a thick granulation wall, and cultured pus was positive for Brucella only. The patient responded well to antibiotic therapy.
Preventive Cardiovascular Research Centre Kermanshah, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Feridoun
F
Sabzi
Preventive Cardiovascular Research Centre Kermanshah, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Reza
R
Faraji
D000038:Abscess / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002002:Brucella; D002006:Brucellosis / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D004322:Drainage / Q000379:methods*; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008482:Mediastinum; D008875:Middle Aged; D035583:Rare Diseases; D012965:Sodium Chloride / Q000494:pharmacology; D056346:Sternotomy; D007507:Therapeutic Irrigation / Q000379:methods; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D012965:Sodium Chloride
Abscess; Anti-bacterial agents; Brucella; Brucellosis; Coronary artery bypass; Mediastinum