A case of acalculous cholecystitis or Brucella-induced acute cholecystitis?

A case of acalculous cholecystitis or Brucella-induced acute cholecystitis?

Brucella spp. is a microorganism that can cause febrile, systemic infection, especially in endemic areas. Although it causes a multisystemic involvement and creates various clinical symptoms, osteoarticular symptoms are the most common. However, Brucella spp. is known to be a great mimic and can cause rare, atypical presentations. In this case report, we aimed to present a 67-year-old Turkish female patient diagnosed with stony cholecystitis due to Brucella spp. Although rare, brucellosis can be encountered as a cause of acute cholecyst. Although there are changes in the epidemiology of brucellosis, it is useful to keep in mind brucellosis in the differential diagnosis of many diseases, in endemic areas, especially in rural areas.

___

  • Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) , Division of High-Consequence Pathogens and Pathology (DHCPP)
  • Deng Y, Liu X, Duan K, Peng Q. Research Progress on Brucellosis. Curr Med Chem. 2019;26(30):5598-5608. https://doi.org/10.2174/0929867325666180510125009
  • Speiser L, Hsieh L, Huang SS, Bittencourt C, Forthal D. Brucellosis Presenting as Cholecystitis: A Case Report and Literature Review. Open Forum Infect Dis. 2019;6(10):ofz334. https://doi.org/10.1093/ofid/ofz334
  • Miranda RT, Gimeno AE, Rodriguez TF, de Arriba JJ, Olmo DG, Solera J. Acute cholecystitis caused by Brucella melitensis: case report and review. J Infect. 2001;42(1):77-8. https://doi.org/10.1053/jinf.2000.0757
  • Ergün U. Brucellosis associated with acute cholecystitis. Izmir Democracy University Health Sciences Journal, 2019;2(2), 114-117.
  • Al-Aska AK. Gastrointestinal manifestations of brucellosis in Saudi Arabian patients. Trop Gastroenterol 1989;10:217-9.
  • Aziz S, Al-Anazi AR, Al-Aska AI. A review of gastrointestinal manifestations of Brucellosis. Saudi J Gastroenterol. 2005;11(1):20-27. https://doi.org/10.4103/1319-3767.33333
  • Pirinçcioğlu A, Konca Ç, Fidan M, Karabiberoğlu S, Tutanç M. Çocukluk çağı brusellozunda bilateral sakroileit: olgu sunumu. Mustafa Kemal Üniversitesi Tıp Dergisi, 2010;1(2), 29-32.
  • Alkan Çeviker S, Elmaslar Mert HT, Gedik MA. Akut Kolesistit ile Başvuran Atipik Bruselloz Olgusu. Sakarya Tıp Dergisi. 2019;9(4):702-705. https://doi.org/10.31832/smj.564795
  • White CS. Cholecystitis as a complication of brucellosis: report of a case. Med Ann DC 1934;12:60-2.
  • Mettier SR, Kerr WJ. Hepatitis and cholecystitis in the course of Brucella infection. Report of a case. Arch Intern Med 1934;54:702-9. https://doi.org/10.1001/archinte.1934.00160170045004
  • Hewlett JS, Ernstene AC. Brucella abortus infection of the gallbladder treated with streptomycin. Report of a case. Cleve Clin Q 1947;24:258-63. https://doi.org/10.3949/ccjm.14.4.258
  • Hariz A, Beji I, Hamdi MS, Cherif E. Brucellosis, an uncommon cause of acute acalculous cholecystitis: two new cases and concise review. BMJ Case Reports CP, 2019;12(9), e229616. https://doi.org/10.1136/bcr-2019-229616
  • Pappas G, Papadimitriou P, Akritidis N, Christou L, Tsianos EV. The new global map of human brucellosis. Lancet Infect Dis. 2006;Feb;6(2):91-99. https://doi.org/10.1016/S1473-3099(06)70382-6
  • Wang XH, Jiang H. Global prevalence of human brucellosis. Zhonghua Liu Xing Bing Xue Za Zhi. 2020;41(10):1717-1722. https://doi.org/10.3760/cma.j.cn112338-20191022-00751
  • WHO/CDS/EPR/2006.7. Brucellosis in Humans and Animals. Geneva: World Health Organization, 2006.
  • Franco MP, Mulder M, Gilman RH, Smits HL. Human brucellosis. Lancet Infect Dis 2007;7:775-786. https://doi.org/10.1016/S1473-3099(07)70286-4
Interdisciplinary Medical Journal-Cover
  • Yayın Aralığı: 3
  • Başlangıç: 2023
  • Yayıncı: Hatay Mustafa Kemal Üniversitesi Tıp Fakültesi Dekanlığı
Sayıdaki Diğer Makaleler

A case of acalculous cholecystitis or Brucella-induced acute cholecystitis?

Fatma Yekta URKMEZ, Mustafa Serhat ŞAHİNOĞLU, Sevil ALKAN

Can venous blood gas be used instead of arterial blood gas in emergency department?

Yakup Kadri ERDOĞAN, Ali KARAKUŞ

The frequency and associated factors of infusion-related reactions to rituximab for patients with rheumatoid arthritis

Mete PEKDİKER

The approach of society regarding the violence against healthcare providers

Yusuf Gazi UÇAR, Celal KUŞ, Raziye Şule GÜMÜŞTAKIM, Mustafa Emre ERYILMAZ

The prognostic role of neutrophil/lymphocyte ratio and monocyte/lymphocyte ratio in advanced stage gastric cancer patients receiving chemotherapy: a single center experience

Kubilay KARABOYUN, Erdoğan Selçuk ŞEBER

Local and systemic side effects of the coronanovac vaccine

Ayşe KARAOĞULLARINDAN, Sanem Okşan ERKAN, Birgül TUHANİOĞLU, İlhami YILDIRIM, Asena Ayça ÖZDEMİR

Comparison of efficacy of Ketorolac %0.4 and Dexamethasone %0.1 in inflamed Pterygium and Pinguecula

Kaan ÇAKMAK, Safak KORKMAZ, Funda YILMAZ

Determination of 25 hydroxyvitamin D reference ranges in Hatay region by indirect method

Hamdi OĞUZMAN, Serdar DOĞAN

Intestinal-type adenocarcinoma of the sinonasal mucosa: a rare case report

Didar GÜRSOY KUZULUK, Süleyman UYSAL, Gül SOYLU ÖZLER

Surveillance of urine cultures and evaluation gram negative uropathogens;five year data from Erbil

Mohammed SADEQ, Hevi GHAFOUR, Tayfur DEMİRAY, Mustafa ALTINDİŞ