Brucellosis: A lymphoma-like presentation

Marcel Massoud; Fouad Kerbage; Leony Antoun; Ribal Merhi; Souheil Hallit; Rabih Hallit; Marcel Massoud; Fouad Kerbage; Leony Antoun; Ribal Merhi; Rabih Hallit; Souheil Hallit; Souheil Hallit; Souheil Hallit; Souheil Hallit

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Brucellosis: A lymphoma-like presentation

Author: Marcel MASSOUD ¹ ; Fouad KERBAGE ¹ ; Leony ANTOUN ¹ ; Ribal MERHI ¹ ; Souheil HALLIT ¹ ; Rabih HALLIT ¹ ; Marcel MASSOUD ² ; Fouad KERBAGE ² ; Leony ANTOUN ² ; Ribal MERHI ² ; Rabih HALLIT ² ; Souheil HALLIT ³ ; Souheil HALLIT ⁴ ; Souheil HALLIT ⁵ ; Souheil HALLIT ⁶
Author Information

1. Holy Spirit University of Kaslik, Medical School
2. CHU-Notre Dame Des Secours
3. Lebanese University, Faculty of Pharmacy
4. Universite Saint Joseph, Faculty of Pharmacy
5. Psychiatric Hospital of the Cross, Research Department
6. Occupational Health Environment Research Team, U1219 BPH Bordeaux Population Health Research Center, Inserm-Université de Bordeaux
Publication Type:Journal Article
Keywords: Brucellosis; Mesenteric lymphadenopathies; Retroperitoneal lymphadenopathies
From: Asian Pacific Journal of Tropical Medicine 2017;10(8):833-834
CountryChina
Language:Chinese
Abstract: Brucellosis is one of the most common zoonotic infections worldwide caused by gram negative bacilli of the genus Brucella. It is transmitted to humans by contact with infected animals or derived food products such as unpasteurized milk. Brucellosis' clinical presentation varies widely from multi-systemic involvement to asymptomatic infection. We present the case of a 52-year-old Lebanese male who was admitted to our hospital with a 3-week history of fever (up to 40 °C), chills, night sweats and abdominal pain. Abdominal CT scan revealed the presence of several mesenteric lymphadenopathies and some retroperitoneal lymphadenopathies. Blood cultures came back positive for Brucella melitensis, and a follow-up CT of the abdomen done after treatment revealed complete resolution of the lymphadenopathies. To our knowledge, this is the first case in the literature of brucellosis presenting as retroperitoneal and mesenteric lymphadenopathies. In endemic areas, the diagnosis of brucellosis should always be raised in front of any long duration fever even in the absence of a typical clinical presentation.