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Brucellosis associated with empyema of gallbladder [Medeniyet Med J]
Medeniyet Med J. 2006; 21(1): 44-46

Brucellosis associated with empyema of gallbladder

Aydın Mazlum1, Bahadır Ceylan2, Şule Ceylan3
1Safa Hospital, Internal Medicine Clinic, Istanbul
2SSK Goztepe Hospital, Clinical Microbiology and Infectious Diseases, Istanbul
3Marmara University Faculty of Medicine, Department of Nuclear Medicine, Istanbul

In 5 %-10 % of patients with acute cholecystitis, calculi obstructing the cystic duct are not found at surgery. Brucellosis is a rare cause of acute acalculous cholecystitis. We report a 52 year-old, previously healthy, man with brucellosis who presented with abdominal pain due to cholecystitis and empyema of gallbladder.
A 52 year-old man presented with fever and abdominal pain for 3 days. The fever ranged from 37.5°C to 39°C. The abdomen was tender in the right upper quadrant regions. Complete blood count revealed a white blood cell count of 6200/mm3. The other laboratory tests were normal. Sonography revealed enlargement of spleen, thickening of the gallbladder wall and empyema of gallbladder. The blood culture grew a Gram negative
rod, wich was subsequently identified as brucella. The standard tube agglutinin titer was 1: 160. After rifampin and doxycycline treatment started, symptoms and signs recovered
without surgical operation at the end of third day. Gall bladder empyema disappeared in control ultrasonographic examination at the end of the first week.

Keywords: Brucellosis, cholecystitis


Safra kesesi ampiyemi ile seyreden akut Bruselloz olgusu

Aydın Mazlum1, Bahadır Ceylan2, Şule Ceylan3
1Safa Hastanesi, İç Hastalıkları Kliniği, İstanbul
2SSK Göztepe Eğitim Hastanesi, Klinik Mikrobiyoloji ve İnfeksiyon Hastalıkları Kliniği, İstanbul
3Marmara Üniversitesi Tıp Fakültesi, Nükleer Tıp Anabilim Dalı, İstanbul

Anahtar Kelimeler: Bruselloz, kolesistit


Aydın Mazlum, Bahadır Ceylan, Şule Ceylan. Brucellosis associated with empyema of gallbladder. Medeniyet Med J. 2006; 21(1): 44-46

Corresponding Author: Bahadır Ceylan, Türkiye


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