We report a case of 44-year-old woman with persistent pruritic papules on the left and right labium majus of the vulva. Histopathologic examination of the vulvar biopsy specimen revealed a suprabasal separation of the epidermis with acantholysis and dyskeratosis.
Objectives: To describe brucellosis and its possible complications according to clinical, laboratory and radiological findings. Methods: We describe a case of Brucella pericarditis visualized at transthoracic echocardiography with clinical manifestations. Results: Clinical manifestations, imaging and laboratory findings provided the correct diagnosis of Brucella pericarditis. The patient recovered fully following doxycycline and rifampin therapy. Conclusion: Brucellosis should be considered in the differential diagnosis of disorders that affect the pericardium in endemic areas.LEARNING POINTS • Brucella pericarditis should be considered in case of disorders that affect the pericardium in endemic areas such as the Mediterranean region.• When a patient has been diagnosed with brucellosis, oral doxycycline 100 mg twice daily plus oral rifampin 600 mg once daily must be given immediately. KEYWORDS Brucellosis, pericarditis; infectious disease.
INTRODUCTIONBrucellosis is a zoonotic disease which is a systemic infection with a broad clinical presentation ranging from asymptomatic to severe disease. Brucella infection can affect any organ and system in the human body. The spleen, liver, bone marrow and reticuloendothelial cells are the most frequently affected, with cardiovascular involvement, such as endocarditis, pericarditis and myocarditis, being extremely rare. Here we describe a patient with Brucella infection complicated with Brucella pericarditis in the absence of concomitant endocarditis, diagnosed as a result of clinical manifestations, imaging, laboratory findings including culture and serology, and the patient's occupation.
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