In this report we describe a patient with sub-acute bacteremic brucellosis complicated by Brucella parotitis with abscess formation as a paradoxical reaction on therapy. A 69 years old male known to have Warthin’s tumor of parotid glands two years before his presentation. He presented with generalized ill-health, body-aches and feeling of further enlargement of his previous swellings at jaw angles for a few weeks. He admitted unpasteurized camels’ milk ingestion. Brucellosis was suspected and proven by a positive blood culture. 10 days after starting anti-brucellosis therapy, he reported back with bilateral parotid abscesses. Patient was diagnosed as sub-acute bacteremic brucellosis with brucella parotitis and abscess formation. The interval enlargement of parotid swellings and abscess formation 10 days after initiation of therapy is explained by paradoxical inflammatory reaction following response to therapy.
| Published in | International Journal of Infectious Diseases and Therapy (Volume 2, Issue 2) |
| DOI | 10.11648/j.ijidt.20170202.14 |
| Page(s) | 44-47 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
Brucella Parotitis, Paradoxical Reaction, Brucella Abscess
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APA Style
Mohamed Elkarouri, Magid A. Mohamed. (2017). Case Report: Brucella Parotitis with Abscess Formation and Paradoxical Reaction on Therapy. International Journal of Infectious Diseases and Therapy, 2(2), 44-47. https://doi.org/10.11648/j.ijidt.20170202.14
ACS Style
Mohamed Elkarouri; Magid A. Mohamed. Case Report: Brucella Parotitis with Abscess Formation and Paradoxical Reaction on Therapy. Int. J. Infect. Dis. Ther. 2017, 2(2), 44-47. doi: 10.11648/j.ijidt.20170202.14
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Download@article{10.11648/j.ijidt.20170202.14,
author = {Mohamed Elkarouri and Magid A. Mohamed},
title = {Case Report: Brucella Parotitis with Abscess Formation and Paradoxical Reaction on Therapy},
journal = {International Journal of Infectious Diseases and Therapy},
volume = {2},
number = {2},
pages = {44-47},
doi = {10.11648/j.ijidt.20170202.14},
url = {https://doi.org/10.11648/j.ijidt.20170202.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijidt.20170202.14},
abstract = {In this report we describe a patient with sub-acute bacteremic brucellosis complicated by Brucella parotitis with abscess formation as a paradoxical reaction on therapy. A 69 years old male known to have Warthin’s tumor of parotid glands two years before his presentation. He presented with generalized ill-health, body-aches and feeling of further enlargement of his previous swellings at jaw angles for a few weeks. He admitted unpasteurized camels’ milk ingestion. Brucellosis was suspected and proven by a positive blood culture. 10 days after starting anti-brucellosis therapy, he reported back with bilateral parotid abscesses. Patient was diagnosed as sub-acute bacteremic brucellosis with brucella parotitis and abscess formation. The interval enlargement of parotid swellings and abscess formation 10 days after initiation of therapy is explained by paradoxical inflammatory reaction following response to therapy.},
year = {2017}
}
TY - JOUR T1 - Case Report: Brucella Parotitis with Abscess Formation and Paradoxical Reaction on Therapy AU - Mohamed Elkarouri AU - Magid A. Mohamed Y1 - 2017/03/17 PY - 2017 N1 - https://doi.org/10.11648/j.ijidt.20170202.14 DO - 10.11648/j.ijidt.20170202.14 T2 - International Journal of Infectious Diseases and Therapy JF - International Journal of Infectious Diseases and Therapy JO - International Journal of Infectious Diseases and Therapy SP - 44 EP - 47 PB - Science Publishing Group SN - 2578-966X UR - https://doi.org/10.11648/j.ijidt.20170202.14 AB - In this report we describe a patient with sub-acute bacteremic brucellosis complicated by Brucella parotitis with abscess formation as a paradoxical reaction on therapy. A 69 years old male known to have Warthin’s tumor of parotid glands two years before his presentation. He presented with generalized ill-health, body-aches and feeling of further enlargement of his previous swellings at jaw angles for a few weeks. He admitted unpasteurized camels’ milk ingestion. Brucellosis was suspected and proven by a positive blood culture. 10 days after starting anti-brucellosis therapy, he reported back with bilateral parotid abscesses. Patient was diagnosed as sub-acute bacteremic brucellosis with brucella parotitis and abscess formation. The interval enlargement of parotid swellings and abscess formation 10 days after initiation of therapy is explained by paradoxical inflammatory reaction following response to therapy. VL - 2 IS - 2 ER -
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