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BMJ Case Reports 2009; doi:10.1136/bcr.06.2008.0243
  • Unusual presentation of more common disease/injury

Multiple abscesses in brucellosis with Wright’s test negativity

  1. Luca Dutto1,
  2. Fulvio Pomero2,
  3. Attilio Allione1
  1. 1
    S, Croce e Carle Hospital, Emergency Department, via Coppino 26, Cuneo, 12100, Italy
  2. 2
    S. Croce e Carle Hospital, Internal Medicine Department, via Coppino 26, Cuneo, 12100, Italy
  1. lucadutto{at}yahoo.it
  • Published 27 February 2009

Summary

We report a case of metastatic abscesses caused by a chronic form of brucellosis in a shepherd. When she was admitted the patient was cachectic with haematological signs of phlogosis. An abdominal computed tomography scan revealed the presence of multiple hepatic and renal abscesses with a fluid mass in the abdominal wall. The blood cultures, tuberculin skin test, and Wright reaction all gave negative results, but the brucellosis Coombs test for Brucella species was highly positive. Diagnosis was confirmed by a high titre of anti-Brucella IgM antibodies. The patient started antibiotic treatment with a progressive clinical improvement, but after discharge she was lost to follow-up and died 7 months later.

Footnotes

  • Competing interests: None.

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