Chronic Splenic Brucellosis

Chronic Splenic Brucellosis

An 86-year-old man in Minnesota presented with fever, dyspnea, and new-onset confusion. His history was notable for a febrile illness with night sweats and a weight loss of 23 kg (50 lb) that had occurred while he was in his late 20s, working in an abattoir slaughtering pigs. An 86-year-old man in M...

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Bibliographic Details
Published in:The New England journal of medicine Vol. 374; no. 24; p. 2377
Main Authors: Costello, Maria, Enzler, Mark J
Format: Journal Article
Language:English
Published: Boston Massachusetts Medical Society 16-06-2016
Subjects:
Abattoirs
Brucellosis
Case reports
Dyspnea
Fever
Respiration
Spleen
United States > US
Minnesota
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Summary:An 86-year-old man in Minnesota presented with fever, dyspnea, and new-onset confusion. His history was notable for a febrile illness with night sweats and a weight loss of 23 kg (50 lb) that had occurred while he was in his late 20s, working in an abattoir slaughtering pigs. An 86-year-old man in Minnesota presented with fever, dyspnea, and new-onset confusion. His physical examination was unremarkable. His medical history was notable for a self-limiting febrile illness with night sweats and a weight loss of 23 kg (50 lb) that had occurred while he was in his late 20s and working in an abattoir slaughtering pigs. Computed tomography of the abdomen and pelvis revealed a coarsely calcified, circumscribed structure in the spleen that measured 4.5 cm by 4.2 cm by 2.8 cm (arrow). Blood cultures were positive for Brucella suis . Given the patient’s clinical history and positive laboratory findings, . . .
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMicm1511012