Article Text

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}


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.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Competing interests: None.