Emerging Infectious Disease ISSN: 1080-6059

Brucellosis Reactivation after 28 Years

Önder Ögredici¹, Stefan Erb¹, Igor Langer, Paola Pilo, Anna Kerner, Horst G. Haack, Gieri Cathomas, Jürg Danuser, Georgios Pappas, and Philip E. Tarr

Author affiliations: Author affiliations: Kantonsspital Bruderholz, Basel, Switzerland (Ö. Ögredici, S. Erb, I. Langer, A. Kerner, H.G. Haack, P.E. Tarr); University Bern, Bern, Switzerland (P. Pilo); Cantonal Institute of Pathology, Liestal, Switzerland (G. Cathomas); Swiss Federal Veterinary Office, Bern, (J. Danuser); Institute of Continuing Medical Education, Ioannina, Greece (G. Pappas)

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Figure

A) Contrast-enhanced computerized tomography (CT) scan showing a calcified gallbladder wall (arrow), a surrounding, calcified mass located peripherally in the liver, and an abscess in the adjacent fat tissue (arrowhead). B) T2-weighted axial magnetic resonance imaging shows multiple gallstones and a thickened gallbladder wall (arrow), inflammation and edema of the adjacent liver, fat tissue, and proximal duodenum. C) Eight weeks after cholecystectomy, contrast-enhanced CT shows a residual absces

Figure. A) Contrast-enhanced computerized tomography (CT) scan showing a calcified gallbladder wall (arrow), a surrounding, calcified mass located peripherally in the liver, and an abscess in the adjacent fat tissue (arrowhead). B) T2-weighted axial magnetic resonance imaging shows multiple gallstones and a thickened gallbladder wall (arrow), inflammation and edema of the adjacent liver, fat tissue, and proximal duodenum. C) Eight weeks after cholecystectomy, contrast-enhanced CT shows a residual abscess in the adjacent fat tissue (arrowhead). D) Contrast-enhanced CT 5 months after cholecystectomy shows only minimal changes in the gallbladder bed and surrounding tissues, and no residual abscess.

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¹These authors contributed equally to this article.

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