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Kemal Bahri Ate$, MD,* M. Enver Dolar, MD,* Mehmet Karahan, MD,? Gulay Temucin, MD,* and Leziz Onaran, MD* Brucellosis is a disease affecting the reticuloendothelial system. Liver and spleen involvement has been reported to occur in 10% to 20% of the patients.' Splenic abscess is unusual, but it has been seen in brucellosis.2-6 We present 2 cases of splenic abscess related to Brucella melitensis, diagnosed from sonographic and bacteriological findings. CASE REPORTS Case 1 A 30-year-old woman was admitted to Yiiksek Ihtisas Hospital with complaints of fever, sweating, weakness, and weight loss for a period of one month. Vital signs showed a temperature of 38.6" C, pulse 104/min, and blood pressure 110/60 mm Hg. She appeared acutely ill. The liver was palpable 4 cm below the right costal margin. The spleen was palpable at 6 cm and was tender. Hemoglobin was 8 g/dL, white blood cell count 3400/mm3, erythrocyte sedimentation rate 68 mmh, serum glutamic- pyruvic transaminase 40 IU/L, and glutamic oxaloacetic transaminase 52 IU/L; other biochemical findings were normal. On ultrasonographic examination the liver was enlarged (vertical diameter: 15.0 cm) and its texture was normal. An anechoic lesion measuring 2.1 cm X 1.5 cm X 1.4 cm
Journal of Clinical Ultrasound – Wiley
Published: Jun 1, 1992
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