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- Title
Brucella causing liver abscess in a child with selective IgA deficiency.
- Authors
Mukherjee, Devdeep; Pal, Priyankar; Kundu, Ritabrata
- Abstract
Background: Brucella has been known to cause pyrexia of unknown origin. Case Characteristics: 9-year-old boy with fever and abdominal pain; multiple abscesses within the liver on ultrasonography. Observations: IgM Antibodies against Brucella were raised in his serum sample, and Brucella serum agglutination test was positive. Immunological work-up suggested selective IgA deficiency. Reduction in size following treatment with trimethoprim-sulphamethoxazole, amikacin and doxycycline. Message: Brucellosis should be considered as an etiology of liver abscess in patients not responding to conventional antibiotics.
- Subjects
BRUCELLA; IMMUNOGLOBULIN A; FEVER; ABDOMINAL pain; CO-trimoxazole
- Publication
Indian Pediatrics, 2017, Vol 54, Issue 7, p595
- ISSN
0019-6061
- Publication type
Article
- DOI
10.1007/s13312-017-1076-4