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Varshochi M, Ravanbakhsh Gavgani R, Ravanbakhsh Ghavghani F, Hamzehzadeh S. A 42-year-old female with sternoclavicular arthritis and breast abscess caused by brucellosis: A case report. Clin Case Rep 2023; 11:e8071. [PMID: 37920259 PMCID: PMC10618157 DOI: 10.1002/ccr3.8071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Revised: 09/18/2023] [Accepted: 10/09/2023] [Indexed: 11/04/2023] Open
Abstract
Key Clinical Message The main target of this report was that brucellosis can occur in unexpected and very rare patterns. We reported this patient to acknowledge all of clinicians especially those living in the endemic areas, that these rare complications of brucellosis can also be treated by the standard treatment of this disease. Abstract Brucellosis is a thousand-face disease and common zoonotic infection in endemic regions. A 42-year-old female was admitted with sternoclavicular arthritis and breast abscess. After laboratory investigation and imaging, positive serological test results and positive blood culture for Brucella revealed acute sternoclavicular arthritis and breast abscess due to brucellosis.
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Affiliation(s)
- Mojtaba Varshochi
- Department of Infectious Disease, Faculty of MedicineTabriz University of Medical SciencesTabrizIran
| | | | | | - Sina Hamzehzadeh
- Liver and Gastrointestinal Disease Research centerTabriz University of Medical SciencesTabrizIran
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Ibrahim D, Dabbous H, Abi Aad Y, Araj GF, Rizk NA. Simultaneous Brucella breast and pacemaker infection. IDCases 2019; 15:e00485. [PMID: 30701157 PMCID: PMC6348196 DOI: 10.1016/j.idcr.2019.e00485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2018] [Revised: 01/02/2019] [Accepted: 01/03/2019] [Indexed: 11/26/2022] Open
Abstract
Infection with Brucella spp. is endemic to the Middle East and the eastern Mediterranean basin. Brucellosis can mimic infectious and non-infectious febrile illnesses and therefore it can pose a diagnostic challenge. A wide range of deep-seated infections have been ascribed to brucellosis including breast abscesses and infections of prosthetic endovascular devices. The latter are usually rare but difficult to treat short of excision of the infected device. Here, we present the case of a middle-aged Lebanese woman who presented with simultaneous breast abscesses and a pacemaker infection due to brucellosis. To our knowledge, a similar manifestation has not been reported in the literature.
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Affiliation(s)
- Dima Ibrahim
- Faculty of Medicine, American University of Beirut, Beirut, Lebanon.,Department of Internal Medicine, Division of Infectious Diseases, American University of Beirut Medical Center, Beirut, Lebanon.,Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
| | - Helene Dabbous
- Faculty of Medicine, American University of Beirut, Beirut, Lebanon.,Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
| | - Yasmine Abi Aad
- Faculty of Medicine, American University of Beirut, Beirut, Lebanon.,Department of Internal Medicine, Division of Infectious Diseases, American University of Beirut Medical Center, Beirut, Lebanon.,Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
| | - George F Araj
- Faculty of Medicine, American University of Beirut, Beirut, Lebanon.,Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.,Department of Pathology And Laboratory Medicine, American University of Beirut, Beirut, Lebanon
| | - Nesrine A Rizk
- Faculty of Medicine, American University of Beirut, Beirut, Lebanon.,Department of Internal Medicine, Division of Infectious Diseases, American University of Beirut Medical Center, Beirut, Lebanon.,Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
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De BK, Stauffer L, Koylass MS, Sharp SE, Gee JE, Helsel LO, Steigerwalt AG, Vega R, Clark TA, Daneshvar MI, Wilkins PP, Whatmore AM. Novel Brucella strain (BO1) associated with a prosthetic breast implant infection. J Clin Microbiol 2008; 46:43-9. [PMID: 17977982 PMCID: PMC2224274 DOI: 10.1128/jcm.01494-07] [Citation(s) in RCA: 74] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2007] [Revised: 09/09/2007] [Accepted: 10/21/2007] [Indexed: 11/20/2022] Open
Abstract
We report the microbiological, biochemical, and molecular characterization of an unusual Brucella strain (BO1) isolated from a breast implant wound in a 71-year-old woman with clinical symptoms consistent with brucellosis. Initial phenotypic analysis, including biochemical and antimicrobial susceptibility testing, cellular fatty acid analysis, and molecular analysis based on DNA-DNA reassociation and the presence of multiple copies of IS711 element suggested that the isolate was a Brucella-like organism, but species determination using microbiological algorithms was unsuccessful. Furthermore, molecular data based on 16S rRNA gene sequencing and multilocus sequence analysis demonstrated that BO1 was an unusual Brucella strain and not closely related to any currently described Brucella species. However, comparison with equivalent sequences in Ochrobactrum spp. confirms that the isolate is much more closely related to Brucella than to Ochrobactrum spp., and thus the isolate likely represents an atypical and novel strain within the genus Brucella.
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Affiliation(s)
- Barun K De
- Centers for Disease Control and Prevention, Mail Stop G34, 1600 Clifton Rd., Atlanta, GA 30333, USA.
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