On liver damage at generalized form of coxiellosis. Case report
Disease case has been analyzed at 59 years old female patient, living in rural area. The disease progressed with long-time and high fever accompanied with liver damage including formation of abscesses. Anamnesis showed that raw milk was consumed. During 1.5 months, high steady fever, weakness, sweat...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Journal Infectology
2018-12-01
|
| Series: | Журнал инфектологии |
| Subjects: | |
| Online Access: | https://journal.niidi.ru/jofin/article/view/816 |
| _version_ | 1826557857810612224 |
|---|---|
| author | O. N. Domashenko E. A. Slyusar V. A. Gridasov |
| author_facet | O. N. Domashenko E. A. Slyusar V. A. Gridasov |
| author_sort | O. N. Domashenko |
| collection | DOAJ |
| description | Disease case has been analyzed at 59 years old female patient, living in rural area. The disease progressed with long-time and high fever accompanied with liver damage including formation of abscesses. Anamnesis showed that raw milk was consumed. During 1.5 months, high steady fever, weakness, sweating and anorexia were observed, with further moderate pain in a right abdominal wing. The whole period of disease was noted with hepatomegaly, worsening leukocytosis, ESR 60 mm/hr, and moderate hyperenzymenia. SCT findings showed an inhomogene hypoechoic formation in a right hepatic lobe in segment’s projection 7, with sharp margins, dimension 3,0 2,2 cm, with 4 nearby liquor formations up to 1.2 cm in diameter. The percutaneous puncture biopsy, liquor formation aspiration and automatic trepanobiopsy of the tissue pattern of the formation under consideration. Cytological study revealed a non-specific inflammation with pus. Atypical cells not found. Histological findings: biopsy material from liver does contain a fibrous tissue with granulomatous inflammation. Complex detoxicating, metabolic and desensibilizing therapy was performed in combination with Ofloxacin, Meropenem (14 days), and Doxycycline (20 days). Diagnosed coxiellosis was confirmed with ELISA in titer 1:400/ ОD 0,587 – ОD/0,726. The patient is fully recovered. |
| first_indexed | 2024-03-12T03:09:34Z |
| format | Article |
| id | doaj.art-b6d606148fac464eb3d821e84049b06b |
| institution | Directory Open Access Journal |
| issn | 2072-6732 |
| language | Russian |
| last_indexed | 2025-03-14T08:35:16Z |
| publishDate | 2018-12-01 |
| publisher | Journal Infectology |
| record_format | Article |
| series | Журнал инфектологии |
| spelling | doaj.art-b6d606148fac464eb3d821e84049b06b2025-03-02T13:00:31ZrusJournal InfectologyЖурнал инфектологии2072-67322018-12-0110414514810.22625/2072-6732-2018-10-4-145-148692On liver damage at generalized form of coxiellosis. Case reportO. N. Domashenko0E. A. Slyusar1V. A. Gridasov2Donetsk National Medical University named after M. Gorky, DonetskCentral City Clinical Hospital № 1, DonetskDonetsk National Medical University named after M. Gorky, DonetskDisease case has been analyzed at 59 years old female patient, living in rural area. The disease progressed with long-time and high fever accompanied with liver damage including formation of abscesses. Anamnesis showed that raw milk was consumed. During 1.5 months, high steady fever, weakness, sweating and anorexia were observed, with further moderate pain in a right abdominal wing. The whole period of disease was noted with hepatomegaly, worsening leukocytosis, ESR 60 mm/hr, and moderate hyperenzymenia. SCT findings showed an inhomogene hypoechoic formation in a right hepatic lobe in segment’s projection 7, with sharp margins, dimension 3,0 2,2 cm, with 4 nearby liquor formations up to 1.2 cm in diameter. The percutaneous puncture biopsy, liquor formation aspiration and automatic trepanobiopsy of the tissue pattern of the formation under consideration. Cytological study revealed a non-specific inflammation with pus. Atypical cells not found. Histological findings: biopsy material from liver does contain a fibrous tissue with granulomatous inflammation. Complex detoxicating, metabolic and desensibilizing therapy was performed in combination with Ofloxacin, Meropenem (14 days), and Doxycycline (20 days). Diagnosed coxiellosis was confirmed with ELISA in titer 1:400/ ОD 0,587 – ОD/0,726. The patient is fully recovered.https://journal.niidi.ru/jofin/article/view/816coxiellosisliver damageabscesstreatment |
| spellingShingle | O. N. Domashenko E. A. Slyusar V. A. Gridasov On liver damage at generalized form of coxiellosis. Case report Журнал инфектологии coxiellosis liver damage abscess treatment |
| title | On liver damage at generalized form of coxiellosis. Case report |
| title_full | On liver damage at generalized form of coxiellosis. Case report |
| title_fullStr | On liver damage at generalized form of coxiellosis. Case report |
| title_full_unstemmed | On liver damage at generalized form of coxiellosis. Case report |
| title_short | On liver damage at generalized form of coxiellosis. Case report |
| title_sort | on liver damage at generalized form of coxiellosis case report |
| topic | coxiellosis liver damage abscess treatment |
| url | https://journal.niidi.ru/jofin/article/view/816 |
| work_keys_str_mv | AT ondomashenko onliverdamageatgeneralizedformofcoxiellosiscasereport AT easlyusar onliverdamageatgeneralizedformofcoxiellosiscasereport AT vagridasov onliverdamageatgeneralizedformofcoxiellosiscasereport |