While diffuse involvement of liver and spleen is frequently seen in @entity3377 , suppurative abscesses caused by Brucella are less common but well described. With the increased availability of cross-sectional imaging techniques, reports have become more frequent. Four @entity1 with @entity733 caused by Brucella spp. are described and included in a review of 115 previously published cases. Clinical characteristics and patterns on ultrasound (US) and computed tomography imaging were analyzed. Furthermore, the proportion of @entity1 with @entity3377 affected by @entity75 was estimated. @entity733 were seen in 1.2% of @entity1 with @entity3377 and were mostly caused by @entity6467 . Imaging analysis revealed two main distinct patterns. Solitary abscesses involving liver more frequently than spleen, and showing characteristic central calcifications, characterize the first pattern. Multiple smaller abscesses, frequent spleen involvement, and absence of calcifications characterize the second pattern. Blood and aspirate cultures were frequently negative, however, the positivity rate increased over the past years. Indirect Coombs test was positive in 96%. Half of the @entity1 were cured by antibiotic treatment; case fatality in this series was 1.9%. @entity733 due to @entity281 have characteristic imaging findings. Clinicians should be aware of these and the proactive use of cross-sectional imaging, particularly US, should be encouraged in endemic regions.

Patterns of XXXX on Cross-Sectional Imaging: A Review of Clinical and Imaging Features.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity3377 :: ('MESH:D002006', 'Disease') :: ['brucellosis'] @entity75 :: ('MESH:D001927', 'Disease') :: ['suppurative hepatosplenic lesions'] @entity281 :: ('MESH:D007239', 'Disease') :: ['Brucella infections'] @entity733 :: ('MESH:D000038', 'Disease') :: ['Hepatosplenic abscesses', 'hepatosplenic abscesses'] @entity6467 :: ('29459', 'Species') :: ['Brucella melitensis']
@entity733 :: (MESH:D000038,Disease) :: ['Hepatosplenic Brucella Abscesses']
