Brucella liver abscess. Case report and review of the literature

Hepatic involvement in infections caused by Brucella organisms is common bu t the production of liver abscess is exceptional. Therefore, the most appro priate therapeutic approach is unclear. The use of antibiotics can be effec tive but in some cases abscess drainage is required. We report here a case of brucellar hepatic abscess and a review of fourteen cases reported in the literature. An emphasis is laid on the clinical, laboratory and radiologic al findings, treatment, and patient evolution. On the basis of the reported cases a therapeutic approach is proposed.