case_images: PMC10582943_01
case_images: Abdominal CT scan. CT plain scan and tertiary enhancement of the abdomen before treatment: splenomegaly with multiple patches of slightly hypointense opacity within, CT value approximately 32 HU, considering the possibility of infarction. The white arrows indicate the hypointense shadow of the spleen.
case_images: fcimb-13-1234447-g001.jpg
case_images: PMC10582943_01_fcimb-13-1234447-g001.jpg
case_images: f1
case_images: Enhanced abdominal CT showed hepatomegaly, splenomegaly, multiple low-density lesions in the spleen (prone to splenic infarction), portal vein enlargement, and a small amount of effusion in the pelvis ( Figure 1 ).
case_images: Timeline of the patient's clinical presentation, relevant tests, and treatment. (A) Timeline of the patient's body temperature. (B) Timeline of the patient's tests and treatment. CRO, ceftriaxone; SM, streptomycin; DOX, doxycycline; RFP, rifampicin; SAT, test tube agglutination test.
case_images: fcimb-13-1234447-g002.jpg
case_images: PMC10582943_01_fcimb-13-1234447-g002.jpg
case_images: f2
case_images: After verifying Brucella abortus infection by blood culture, rifampicin (0.6, QD, p.o.) was added to the combination therapy ( Figure 2 ).
case_images: Comparison of abdominal CT results before and after treatment. (A) CT of the abdomen before treatment. (B) CT of the abdomen after 6-week treatment. The spleen has much fewer hypodense lesions than the former.
case_images: fcimb-13-1234447-g003.jpg
case_images: PMC10582943_01_fcimb-13-1234447-g003.jpg
case_images: f3
case_images: Abdominal CT showed that the low-density lesions in the spleen were much less than the former ( Figure 3 ).