Brucellosis: A lymphoma-like presentation
Journal Title: Asian Pacific Journal of Tropical Medicine - Year 2017, Vol 10, Issue 8
Abstract
Brucellosis is one of the most common zoonotic infections worldwide caused by gram negative bacilli of the genus Brucella. It is transmitted to humans by contact with infected animals or derived food products such as unpasteurized milk. Brucellosis' clinical presentation varies widely from multi-systemic involvement to asymptomatic infection. We present the case of a 52-year-old Lebanese male who was admitted to our hospital with a 3-week history of fever (up to 40 C), chills, night sweats and abdominal pain. Abdominal CT scan revealed the presence of several mesenteric lymphadenopathies and some retroperitoneal lymphadenopathies. Blood cultures came back positive for Brucella melitensis, and a follow-up CT of the abdomen done after treatment revealed complete resolution of the lymphadenopathies. To our knowledge, this is the first case in the literature of brucellosis presenting as retroperitoneal and mesenteric lymphadenopathies. In endemic areas, the diagnosis of brucellosis should always be raised in front of any long duration fever even in the absence of a typical clinical presentation.
Authors and Affiliations
Marcel Massoud, Rabih Hallit
Keywords
Related Articles
- EP ID EP279750
- DOI 10.1016/j.apjtm.2017.07.025
- Views 63
- Downloads 0
Polyphenolic content, in vitro antioxidant activity and chemical composition of extract from Nephelium lappaceum L. (Mexican rambutan) husk
Objective: To determinate the recovery of total polyphenolic compounds content, in vitro antioxidant activity and HPLC/ESI/MS characterization of extract from Nephelium lappaceum L. (Mexican rambutan). Methods: The rambu...
Insecticide susceptibility status and resistance mechanism of Anopheles cracens Sallum and Peyton and Anopheles maculatus Theobald (Family: Culicidae) from knowlesi malaria endemic areas in Peninsular Malaysia
Objective: To assess the insecticide susceptibility status of Anopheles cracens (An. cracens) and Anopheles maculatus (An. maculatus) from knowlesi malaria endemic areas in Peninsular Malaysia towards DDT, malathion and...
Health situation and challenges in Sri Lanka
Sri Lanka, an island in the Indian Ocean, is 65 610km2 with a population of 21 million (population density 315/km2). It is a low-middle income country with GDP per capita of USD 4 310. However, due to policies of free ed...
Effect of PPARg agonist (rosiglitazone) on the secretion of Th2 cytokine in asthma mice
Objective: To explore the effect of PPARg agonist (rosiglitazone) on the secretion of Th2 cytokines and the proportion of immune cell subsets in asthma mice. Methods: Ovalbumin (OVA)-sensitized mice were used to build as...
Effect of curcumin on expressions of NF-kBp65, TNF-a and IL-8 in placental tissue of premature birth of infected mice
Objective: To observe the effect of curcumin on expressions of nuclear transcription factor-kappa Bp65 (NF-kBp65), TNF-a and IL-8 in placental tissue of premature birth of infected mice induced by lipopolysaccharide (LPS...