Simultaneous Brucella breast and pacemaker infection
Dima Ibrahim,
Helene Dabbous,
Yasmine Abi Aad,
George F. Araj,
Nesrine A. Rizk
Affiliations
Dima Ibrahim
Faculty of Medicine, American University of Beirut, Beirut, Lebanon; Department of Internal Medicine, Division of Infectious Diseases, American University of Beirut Medical Center, Beirut, Lebanon; Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
Helene Dabbous
Faculty of Medicine, American University of Beirut, Beirut, Lebanon; Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
Yasmine Abi Aad
Faculty of Medicine, American University of Beirut, Beirut, Lebanon; Department of Internal Medicine, Division of Infectious Diseases, American University of Beirut Medical Center, Beirut, Lebanon; Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
George F. Araj
Faculty of Medicine, American University of Beirut, Beirut, Lebanon; Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon; Department of Pathology And Laboratory Medicine, American University of Beirut, Beirut, Lebanon
Nesrine A. Rizk
Faculty of Medicine, American University of Beirut, Beirut, Lebanon; Department of Internal Medicine, Division of Infectious Diseases, American University of Beirut Medical Center, Beirut, Lebanon; Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon; Corresponding author at: Department of Internal Medicine, Division of Infectious Diseases, American University of Beirut Medical Center, P.O. Box 11-0236, Riad El Solh, 1107 2020, Beirut, Lebanon.
Infection with Brucella spp. is endemic to the Middle East and the eastern Mediterranean basin. Brucellosis can mimic infectious and non-infectious febrile illnesses and therefore it can pose a diagnostic challenge. A wide range of deep-seated infections have been ascribed to brucellosis including breast abscesses and infections of prosthetic endovascular devices. The latter are usually rare but difficult to treat short of excision of the infected device. Here, we present the case of a middle-aged Lebanese woman who presented with simultaneous breast abscesses and a pacemaker infection due to brucellosis. To our knowledge, a similar manifestation has not been reported in the literature. Keywords: Brucella, Pacemaker, Endocarditis, Breast abscess
