Brucella terminal ileitis: a rare cause of intestinal obstruction about a case

Authors

  • Alejandro Antonio Ayala Correa Department of General Surgery, General Zone Hospital No.1, Mexican Institute of Social Security IMSS, Pachuca, Hidalgo, Mexico
  • Irving Yair Grande Zamora Department of General Surgery, General Zone Hospital No.1, Mexican Institute of Social Security IMSS, Pachuca, Hidalgo, Mexico
  • Santos Enrique Platas Galván Department of General Surgery, General Zone Hospital No.1, Mexican Institute of Social Security IMSS, Pachuca, Hidalgo, Mexico
  • Oswaldo Natanael González Rivera Department of General Surgery, General Zone Hospital No.1, Mexican Institute of Social Security IMSS, Pachuca, Hidalgo, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20213429

Keywords:

Intestinal obstruction, Brucellosis, Acute abdomen, Zoonosis, Terminal ileitis, Antithrombin deficiency

Abstract

Brucellosis is a bacterial zoonosis transmitted by contact with fluids from infected domestic animals, by consumption of unpasteurized milk products, or by inhalation of infected aerosols. Systemic infection has clinical manifestations from asymptomatic cases to those that are fatal. Focal infections occur in 30% of cases and affect any organ. Gastrointestinal manifestations are rare and unspecific. We reported the case of a patient with antithrombin III deficiency who presented with a clinical picture of abdominal pain at the emergency department, with failure of conservative treatment and with progression to acute abdomen, for which surgical treatment was offered, resolving the condition of intestinal obstruction and taking a biopsy that confirmed terminal brucella ileitis, antibiotic treatment and intestinal rest were indicated with successful results. Brucella terminal ileitis is an unusual manifestation of brucellosis. History of consumption of unpasteurized milk and derivatives and contact with livestock should be carefully examined in patients with acute abdomen in Brucella endemic countries. This will lead to a full and uncomplicated recovery from this disease.

References

Bosilkovski M. Clinical manifestations, diagnosis, and treatment of brucellosis, 2021. Available at: https://www.uptodate.com/contents/brucellosisepidemiology-microbiology-clinical-manifestations-and-diagnosis. Accessed on 28 May 2021.

Vega LCA, Ariza AR, Rodríguez WFL. Brucelosis. Una infección vigente. Acta Med. 2008;6(4):158-65.

Ruiz MA, Revuelta MA. Manual para la vigilancia epidemiológica de la brucelosis. Secretaria de Salud, Subsecretaria de Prevención y Promoción de la Salud, Dirección General Adjunta de Epidemiología. 2014;89(5):697-703.

Oguz MM, Celebi FZ. Brucellar terminal ileitis and epididymo-orchitis in an adolescent; case report and review of the literature. J Infect Dev Ctries. 2018;12(10):919-21.

Dean AS, Crump L, Greter H, Hattendorf J, Schelling E, Zinsstag J. Clinical manifestations of human brucellosis: a systematic review and meta-analysis. PLoS Negl Trop Dis. 2012;6(12):1929.

Zheng R, Xie S, Lu X, Sun L, Zhou Y, Zhang Y, Wang K. A Systematic Review and Meta-Analysis of Epidemiology and Clinical Manifestations of Human Brucellosis in China. Biomed Res Int. 2018;5712920.

Noureen I, Hamza M, Sabir KH, Khan S, Hanif M. Brucellosis As a Cause of Intestinal Perforation. Cureus. 2020;12(2):7075.

Papaioannides D, Korantzopoulos P, Sinapidis D, Charalabopoulos K, Akritidis N. Acute pancreatitis associated with brucellosis. JOP. 2006;7(1):62-5.

Morata P, Ortuno MI, Reguera JM, Miralles F, Gonzalez JJ, Colmenero JD. Diagnostic yield of a PCR assay in focal complications of brucellosis. J Clin Microbiol. 2001;39(10):3743-6.

Secretaria S. Norma Oficial Mexicana NOM-022-SSA2-1994, para la Prevencion y Control de la Brucelosis en el Hombre, 1995. Available at: http://www.ordenjuridico.gob.mx/Documentos/Federal/wo69431.pdf. Accessed on 28 May 2021.

Downloads

Published

2021-08-25

How to Cite

Ayala Correa, A. A., Grande Zamora, I. Y., Platas Galván, S. E., & González Rivera, O. N. (2021). Brucella terminal ileitis: a rare cause of intestinal obstruction about a case. International Journal of Research in Medical Sciences, 9(9), 2831–2834. https://doi.org/10.18203/2320-6012.ijrms20213429

Issue

Section

Case Reports