Indian pediatrics · 2017
Brucella Causing Liver Abscess in a Child with Selective IgA Deficiency.
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Mukherjee Devdeep, Pal Priyankar, Kundu Ritabrata
Аннотация
BACKGROUND: Brucella has been known to cause pyrexia of unknown origin.
CASE CHARACTERISTICS: 9-year-old boy with fever and abdominal pain; multiple abscesses within the liver on ultrasonography.
OBSERVATIONS: IgM Antibodies against Brucella were raised in his serum sample, and Brucella serum agglutination test was positive. Immunological work-up suggested selective IgA deficiency. Reduction in size following treatment with trimethoprim-sulphamethoxazole, amikacin and doxycycline.
MESSAGE: Brucellosis should be considered as an etiology of liver abscess in patients not responding to conventional antibiotics.
CASE CHARACTERISTICS: 9-year-old boy with fever and abdominal pain; multiple abscesses within the liver on ultrasonography.
OBSERVATIONS: IgM Antibodies against Brucella were raised in his serum sample, and Brucella serum agglutination test was positive. Immunological work-up suggested selective IgA deficiency. Reduction in size following treatment with trimethoprim-sulphamethoxazole, amikacin and doxycycline.
MESSAGE: Brucellosis should be considered as an etiology of liver abscess in patients not responding to conventional antibiotics.