Brucella pelvic tubo-ovarian abscess with a history of chronic brucellosis. (2021)

• Record Type: Journal Article
• Authors: Najib, Bernard; Abdallah, Wael; Haddad, Elie; Atallah, David
• Is Part Of: IDCases. Volume 23(2020)
• Publication Date: 2021
• Subjects: Brucellosis -- Ovarian -- Tubo-ovarian abscess -- Serology -- Magnetic resonance imaging; Communicable diseases -- Periodicals; Communicable Diseases -- Case Reports; Communicable Diseases -- Periodicals; Communicable diseases; Periodicals; 616.9
• DOI: 10.1016/j.idcr.2020.e01029
• Languages: English
• ISSNs: 2214-2509

Abstract

Abstract: Brucellosis is a zoonotic disease located especially in Central and South America, India, the Mediterranean and the Middle East. Human brucellosis occurs as a systemic infectious disease with various clinical manifestations. We present a case of 45-year-old female patient, nulliparous, not sexually active, with a previous medical history of a treated brucellosis, and no surgical or gynecological history. The patient presented with a history of fever for 7 days of 39 degrees Celsius, chills and acute abdominal pain. She was diagnosed with diffuse peritonitis with left tubo-ovarian abscess and was admitted for an urgent diagnostic laparoscopy. A left adnexectomy was performed. The diagnosis of genital brucellosis was made. This case report discusses an unusual complication of brucellosis represented by a tubo-ovarian abscess associated with acute peritonitis, treated by a laparoscopic adnexectomy and antimicrobials. Acute peritonitis associated with a tubo-ovarian abscess is an unusual complication of brucellosis.