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Brucella-infected ovarian dermoid cyst causing initial treatment failure in a patient with acute brucellosis

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Summary

A 37-year-old woman was diagnosed with acute brucellosis. Despite appropriate antimicrobial therapy, high fever persisted. A contrast enhanced CT scan of the abdomen and pelvis revealed a left ovarian dermoid cyst. On the first postoperative day after left ovariectomy and right ovarian cystectomy were performed, the patient defervesced abruptly and continued to be completely afebrile. Cultures from bone marrow and dermoid cyst grewBrucella melitensis. The observation of a Brucella-infected ovarian dermoid cyst, which has not been previously reported, illustrates the importance of localized brucellosis as a cause of persistent infection despite appropriate antimicrobial therapy.

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References

  1. Young, E. J.: An overview of human brucellosis. Clin. Infect. Dis. 21 (1995) 283–290.

    PubMed  CAS  Google Scholar 

  2. Araj, G. F., Azzam, R. A.: Seroprevalence of brucella antibodies among persons in high-risk occupation in Lebanon. Epidemiol. Infect. 117 (1996) 281–288.

    Article  PubMed  CAS  Google Scholar 

  3. Young, E. J.: Human brucellosis. Rev. Infect. Dis. 5 (1983) 821–842.

    PubMed  CAS  Google Scholar 

  4. Acocella, G., Bertrand, A., Beytout, J., Durrande, J. B., Rodriguez, J.-A. G., Kosmidis, J., Micoud, M., Rey, M., Zapata, M. R., Roux, J., Stahl, J.-P.: Comparison of three different regimens in the treatment of acute brucellosis: a multicenter multinational study. J. Antimicrob. Chemother. 23 (1989) 433–439.

    Article  PubMed  CAS  Google Scholar 

  5. Cisneros, J. M., Viciana, P., Colmenero, J., Pachón, J., Martinez, C., Alacrón, A.: Multicenter prospective study of treatment ofBrucella melitensis brucellosis with doxycycline for 6 weeks plus streptomycin for 2 weeks. Antimicrob. Agents Chemother. 34 (1990) 881–883.

    PubMed  CAS  Google Scholar 

  6. Çokça, F., Meço, O., Arasil, E., Ünlü, A.: An intramedullary dermoid cyst abscess due toBrucella abortus biotype 3 at T11-L2 spinal levels. Infection 22 (1994) 359–360.

    Article  PubMed  Google Scholar 

  7. Graevenitz, A. von, Colla, F.: Thyroiditis due toBrucella melitensis —report of two cases. Infection 18 (1990) 179–180.

    Article  Google Scholar 

  8. Colmenero, J. D., Reguera, J. M., Martos, F., Sánchez de Mora, D., Delgado, M., Causse, M., Martin-Farfám, A., Juárez, C.: Complications associated withBrucella melitensis infections: a study of 530 cases. Medicine 75 (1996) 195–211.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Dept. of Internal Medicine, Dept. of Microbiology and Immunology, American University of Beirut Medical Center, Beirut, Lebanon

    M. Uwaydah M. D.

  2. Dept. of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon

    N. Shamsuddine M. D.

  3. Dept. of Obstetrics and Gynaecology, American University of Beirut Medical Center, Beirut, Lebanon

    A. Khalil M. D. & F. Matar M. D.

  4. Laboratory Medicine, American University of Beirut Medical Center, Beirut, Lebanon

    G. F. Araj Ph.D.

Authors
  1. M. Uwaydah M. D.
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  2. A. Khalil M. D.
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  3. N. Shamsuddine M. D.
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  4. F. Matar M. D.
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  5. G. F. Araj Ph.D.
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Uwaydah, M., Khalil, A., Shamsuddine, N. et al. Brucella-infected ovarian dermoid cyst causing initial treatment failure in a patient with acute brucellosis. Infection 26, 131–132 (1998). https://doi.org/10.1007/BF02767777

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  • DOI: https://doi.org/10.1007/BF02767777

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