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


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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1. Irmak H, Buzgan T, Karahocagil MK, et al. The effect of levamisole combined with the classical treatment in chronic brucellosis. Tohoku J Exp Med 2003;201:221–228.
2. Coka F, Yilmaz-Bozkurt G, Azap A, et al. Meningoencephalitis, pancytopenia, pulmonary insufficiency and splenic abscess in a patient with brucellosis. Saudi Med J 2006;27:539–541.
3. Young EJ. Brucella species: Principles and Practice of Infectious Disease. In: Mandell GL, Bennett JE, Dolin R, eds. Churchill Livingstone, 2000, pp 2386–2391.
4. Baldwin C. Pathogenesis of Brucellosis: Intracellular Bacterial Infections. In: Pechere EJ, ed. Cambridge Med Pub,1996, pp 87–92.
5. Madkour MM. Skin manifestations. Brucellosis. In: Madkour MM, ed. Butterworths, 1989, pp 180–184.
6. Gasser I, Almirante B, Fernandez-Perez F, et al. Bilateral mammary abscess and uveitis caused by Brucella melitensis: report of a case. Infection 1991;19:44–45.
7. Ariza J, Servitje O, Pallares R, et al. Characteristic cutaneous lesions in patients with brucellosis.Arch Dermatol 1989;125:380–383.
8. Al-Orainey IO, Siddiqui MA, Wright SG, et al. Skin lesions in brucellosis: report of two cases. Ann Saudi Med 1988;8:219–220.
9. Dakdouk GK, Araj GF, Awar GN. Buttock abscess brucellosis. Scand J Infect Dis 2002;34:934–936.
10. Cokca F, Azap A, Meco O. Bilateral mammary abscess due to Brucella melitensis. Scand J Infect Dis 1999;31:318–319.
11. Trunnell TN, Waisman M, Trunnell TL. Contact dermatitis caused by brucella. Cutis 1985;35:379–381.
12. Al-Idrissi HY, Uwaydah AK, Danso KT, et al. Ceftriaxone in the treatment of acute and subacute human brucellosis. J Intern Med Res 1989;17:363–368.