Abstract
Splenic infarction is an extremely rare and unique presentation of brucellosis. Only few cases have been reported worldwide. We here report a case of a young man, presenting with acute onset of fever, left hypochondial pain, and vomiting. Further evaluation revealed multiple splenic infarcts and positive blood culture for brucellosis despite negative transesophageal echocardiography for endocarditis. Significant improvement in clinical symptoms and splenic lesions was achieved after six weeks of combination therapy against brucellosis.
Highlights
Brucellosis is the most common zoonotic infection worldwide [1]
To the best of our knowledge, no case of splenic infarction associated with brucellosis has been reported in Saudi Arabia before
B. melitensis is most commonly encountered in Saudi Arabia [18]
Summary
It is estimated that 500,000 brucellosis cases are reported annually [2]. Brucellosis is hyperendemic in Saudi Arabia with an incidence of 40 cases per 100,000 persons per year [4]. It is caused by gram-negative coccobacilli transmitted to humans via unpasteurized milk, cheese, and fluids of infected animals like cattle, goats, and sheep. It has a wide range of nonspecific clinical manifestations and complications [5, 6]. We report a case of multiple splenic infarcts associated with acute brucellosis
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