Case Report

A Brucellosis Case Presenting With Mass Formation Suggestive for Tumor in Soft Tissue

Authors: Hasan Karsen, MD, Hayrettin Akdeniz, MD, Hasan Irmak, MD, Turan Buzgan, MD, MKasım Karahocagil, MD, Zeliha Kocak, MD, Mahmut Sünnetçioğlu, MD

Abstract

We report here a 70-year-old female patient who was diagnosed with brucellosis and presented with mass formation resembling a tumor. The mass was protuberant, 10 cm from the skin surface with a diameter of 15 cm, located at the inferior-lateral region of the left scapula. Brucella melitensis was yielded from culture of mass fluid. The patient responded to ceftriaxone, rifampin and doxycycline therapy and recovered without any sequela at the end of surgery and 3 months of medical treatment.


Key Points


* In this article, a case of brucellosis presenting with soft tissue involvement and mass formation is reported.


* To determine whether the mass was a soft tissue tumor or had developed secondary to brucellosis, the mass fluid was aspirated on the second day of hospitalization, and brucella SAT was positive at 1:5120 dilution from this mass fluid.


* B melitensis was yielded from the mass fluid on the 9th day. The mass was totally excised and the fluid tissue inside the mass was removed. Triple antibiotic treatment was given.


* The patient was followed up for one year and no complaint occurred again.

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