Brucellosis Presenting as a Localized Fluid Collection in the Leg: A Case Report from an Endemic Area
Brucellosis Presenting as Leg Abscess
Keywords:
Brucellosis, Body Fluids, Zoonosis, LegAbstract
Introducton:Brucellosis is one of the most important zoonotic diseases worldwide, and Kurdistan is an endemic province in Iran. Microorganisms can be found in different fluids and tissues of the body. This study is the first to report the detection of Brucella in an isolated collection.
Case Report: The patient was a 53-year-old Iranian farmer whose chief complaint was weight loss, malaise, low back pain, and pitting edema in his left leg. He had no history of underlying disease, and his Wright test was positive. As an incidental finding during color Doppler sonography performed to rule out DVT, a localized fluid collection was observed in the medial and distal portions of the left leg. Fluid was aspirated, and the results showed a positive Coombs Wright test and a positive PCR test for brucellosis. The patient's brucellosis was successfully treated with a combination regimen of Doxycycline (100mg PO BID), Rifampin (600mg PO daily), and Gentamycin (80mg/2ml IV TDS), and supportive care. After a 3-week hospitalization, symptoms resolved, and the patient showed significant improvement, including weight gain, at the 2-month follow-up.
Conclusion: This is an uncommon case of Brucella infection in a localized fluid collection in an endemic area. Brucellosis can be found in fluid collections that may have no connection to any body fluids.
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