Brucella causing liver abscess in a child with selective IgA deficiency

Abstract

                <span> 
                  </span><h3>Background</h3> 
                  <p>Brucella has been known to cause pyrexia of unknown origin.</p> 

                <span> 
                  </span><h3>Case Characteristics</h3> 
                  <p>9-year-old boy with fever and abdominal pain; multiple abscesses within the liver on ultrasonography.</p> 

                <span> 
                  </span><h3>Observations</h3> 
                  <p>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.</p> 

                <span> 
                  </span><h3>Message</h3> 
                  <p>Brucellosis should be considered as an etiology of liver abscess in patients not responding to conventional antibiotics.</p> 
                <br /><br />

from # & – All via ola Kala on Inoreader http://ift.tt/2hUqvcr

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