KMID : 1144320100420010048
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°¨¿°°ú ÈÇпä¹ý 2010 Volume.42 No. 1 p.48 ~ p.50
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Splenic Infarction Associated with Brucellosis in a Non-Endemic Area
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Lee Jae-Hoon
Choi Chang-Soo Kim Tae-Hyeon Lee Yu-Min Lee Chang-Hoon
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Abstract
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A 45-year-old man was referred from a local clinic with persistent fever, intermittent pain in the left upper abdomen, and weight loss of 7 kg. He quit his animal husbandry 18 months ago when his cows were found to be infected with Brucella. Abdominal computed tomography (CT) scan taken on admission showed splenomegaly with a wedge-shaped hypoattenuating region in the enhanced image, which was consistent with splenic infarction. Serology for Bruculla was strongly positive with the standard tube agglutination test (1/2560). After initiation of doxycycline (100 mg every 12 hrs) and rifampin (600 mg every day), the patient¡¯s condition improved, and was discharged with oral antibiotics that were to be continued for 3 months. During the 12 months¡¯ follow up at the outpatient department, the patient had no symptoms, and the last agglutination titer for Brucella in serum had decreased to 1/40. To our knowledge, this is the first report on splenic infarction associated with brucellosis in Korea, which was treated successfully with antibiotic therapy.
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KEYWORD
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Brucellosis, splenic infarction
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