BRUCELLA-INFECTED OVARIAN DERMOID CYST CAUSING INITIAL TREATMENT FAILURE IN A PATIENT WITH ACUTE BRUCELLOSIS

A 37-year-old woman was diagnosed with acute brucellosis. Despite appr opriate antimicrobial therapy, high fever persisted. A contrast enhanc ed CT scan of the abdomen and pelvis revealed a left ovarian dermoid c yst. On the first postoperative day after left ovariectomy and right o varian cystectomy were performed, the patient defervesced abruptly and continued to be completely afebrile. Cultures from bone marrow and de rmoid cyst grew Brucella melitensis. The observation of a Brucella-inf ected ovarian dermoid cyst, which has not been previously reported, il lustrates the importance of localized brucellosis as a cause of persis tent infection despite appropriate antimicrobial therapy.