Brucellosis: differential diagnosis of acute abdominal pain.

Abstract:

:A 34-year-old Turkish woman presented with septic fever, sweats, arthralgia, and abdominal pain. Further examination revealed generalized lymphadenopathy, hepatosplenomegaly, pancytopenia, and multiple caseous granulomas. Microbiological diagnosis revealed Brucella melitensis type 3 as causative agent. This case report demonstrates that abdominal pain can be a symptom in brucellosis, and caseous granulomas may occur. In our mobile society Brucella infection should be considered as possible differential diagnosis in patients with fever, lymphadenopathy, hepatosplenomegaly, and pancytopenia, although human brucellosis is rare in Germany and other Western countries.

journal_name

Z Gastroenterol

authors

Göke M,Neurath M,Braunstein S,Daniello S,Knolle P,Dippold W,Meyer zum Büschenfelde KH

subject

Has Abstract

pub_date

1993-11-01 00:00:00

pages

671-4

issue

11

eissn

0044-2771

issn

1439-7803

journal_volume

31

pub_type

杂志文章
  • Tuberculous perihepatic abscess and neurosarcoidosis: report of 2 uncommon manifestations of 2 common granulomatous diseases in 1 patient.

    abstract::Infections caused by pathogens of the Mycobacterium tuberculosis complex, i. e., tuberculosis (TB), and the non-infectious, autoimmune disease sarcoidosis are among the most common granulomatous diseases worldwide. Typically, the lung is the primary site of infection and manifestation, respectively which makes the two...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/a-1330-9046

    authors: Gernert JA,Sirtl S,Macke L,Wittmann E,Strueven AK,Schwarze V,Dichtl K,Neumann J,Mayerle J,Schulz C

    更新日期:2021-01-01 00:00:00

  • Synchronous herpes simplex virus and cytomegalovirus esophagitis.

    abstract::Infective esophagitis is a rare disease, affecting mostly immunocompromised patients. Very few cases of a multiple viral infection have been reported. We present a case of combined cytomegalovirus (CMV) and herpes simplex virus (HSV) esophagitis in an 81-year-old female with extracapillary sclerosing glomerulonephriti...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-2000-14887

    authors: Vodovnik A,Cerar A

    更新日期:2000-06-01 00:00:00

  • [APC resistance due to factor V Leiden mutation presenting as acute hemorrhagic jejunal infarction--case report].

    abstract::We report on a 43-year-old patient presenting to the emergency department with acute abdominal pain the source of which turned out to be acute hemorrhagic jejunal infarction due to portal and mesenteric vein occlusion with no apparent cause. In spite of a lacking history of hereditary thrombophilic risk factors, furth...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-2007-963528

    authors: Garlipp B,Gerhardt U,Linke J,Arlt G

    更新日期:2008-02-01 00:00:00

  • NAT1 genotypes do not predict response to mesalamine in patients with ulcerative colitis.

    abstract:BACKGROUND:5- Aminosalicylic acid (5-ASA) is metabolised in colonic mucosa by N-acetyltransferase 1 (NAT1). Common genetic polymorphisms in this enzyme result in rapid or slow acetylation. 5-ASA treatment causes side effects in up to 10 % of patients with ulcerative colitis (UC). We therefore determined genetic variati...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-2007-963673

    authors: Hausmann M,Paul G,Menzel K,Brunner-Ploss R,Falk W,Schölmerich J,Herfarth H,Rogler G

    更新日期:2008-03-01 00:00:00

  • [Alpha 1-antitrypsin deficiency and the liver (author's transl)].

    abstract::Alpha 1-antitrypsin (alpha 1 AT) is a glycoprotein of hepatic origin which functions as a systemic protease inhibitor (Pi). Its production is controlled by two autosomal-codominantly transmitted alleles. Among the numerous genetic variants some alleles (predominantly PiZ) may induce alpha 1 AT-deficiency, facultativel...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章,评审

    doi:

    authors: Spech HJ,Liehr H

    更新日期:1982-07-01 00:00:00

  • [Phospholipase A2--acute phase protein after liver surgery?].

    abstract:INTRODUCTION:The exact source of phospholipase A2 is unknown. In this context the liver is discussed because the secretion of phospholipase A2 could be initiated during an acute phase response. PATIENTS AND METHODS:Three groups of patients were prospectively established: A liver resection (n = 12); B control (n = 22; ...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:

    authors: Gerhard F,Treusch H,Hofmann GE,Büssow M,Hanisch E

    更新日期:1997-04-01 00:00:00

  • A comparative scanning electron microscopic study of biliary and pancreatic stents.

    abstract:BACKGROUND:Little is known about the similarities and differences in the clogging process of biliary and pancreatic stents. The aim of the study was to elucidate this process using scanning electron microscopy. MATERIALS AND METHODS:Scanning electron microscopy was performed in a consecutive series of 18 biliary and 1...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-2008-1027926

    authors: Weickert U,Zimmerling S,Eickhoff A,Riemann JF,Reiss G

    更新日期:2009-04-01 00:00:00

  • [Chemotherapy of stomach cancer].

    abstract::In recent years several studies have been performed to improve the chemotherapy of metastatic gastric carcinoma. It is now established that combined chemotherapy for example with 5-Fluorouracil, adriamycin and mitomycin C or nitrosourea derivatives is superior to monotherapy with 5-Fluorouracil. With this combined che...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:

    authors: Gropp C,Havemann K

    更新日期:1982-12-01 00:00:00

  • A facilitated method for endoscopic interventions at the bile duct after Roux-en-Y reconstruction using double balloon enteroscopy.

    abstract::Endoscopic retrograde cholangiography (ERC) after Roux-en-Y reconstruction and modified BII surgery or duodenopancreatectomy is considerably more difficult than ERC under normal anatomic conditions. If the common bile in the afferent loop cannot be reached by a common lateral-viewing duodenoscope because of excessive ...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-2007-963783

    authors: Fähndrich M,Sandmann M,Heike M

    更新日期:2008-04-01 00:00:00

  • Non-operative management in a case of spontaneous splenic rupture in infectious mononucleosis.

    abstract::Spontaneous splenic rupture as a complication of infectious mononucleosis was diagnosed in a 19-year-old woman. Sonographic and MRI investigations revealed subcapsular hematoma of the spleen without overt rupture. The patient was managed conservatively. Somatostatin treatment was initiated in order to reduce splanchni...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:

    authors: Paar WD,Look MP,Robertz Vaupel GM,Kreft B,Hirner A,Sauerbruch T

    更新日期:1995-01-01 00:00:00

  • Treatment of fulminant acute Hepatitis B with nucles(t)id analogues is safe and does not lead to secondary chronification of Hepatitis B.

    abstract::Background: Acute hepatitis B virus (HBV) infection is still a major cause of acute liver failure (ALF), necessitating a high rate of emergency liver transplantation (LTx). Acute infection is followed by high viral replication rates leading to hepatocyte death and, ultimately, ALF. The objective of treating HBV-induce...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-0042-120418

    authors: Jochum C,Maischack F,Anastasiou OE,Verheyen J,Timm J,Bechmann L,Gerken G,Canbay A

    更新日期:2016-12-01 00:00:00

  • [Childhood achalasia: a separate entity?].

    abstract:BACKGROUND:Achalasia in childhood is rare, also the etiology and the pathogenesis of the early onset ort he disease is practically unknown. Little is known about the neuropathological changes in structure of the esophageal wall in non-hereditary, sporadic achalasia in children and ist differentiation to that in adults....

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-963649

    authors: Bohl J,Gockel I,Sultanov F,Eckardt V,Junginger T

    更新日期:2007-12-01 00:00:00

  • [Buried bumper - a new method of non-surgical removal].

    abstract::Buried bumper syndrome is a rare complication among patients with PEG for long-term feeding. Tight fixation of the external bumper causes pressure necrosis beneath the internal bumper. This leads to the internal bumper's penetration of the deeper gastric wall, where it is completely overgrown by gastric mucosa. A meth...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-2004-812708

    authors: Sauer B,Staritz M

    更新日期:2004-03-01 00:00:00

  • Interstitial pneumonitis during combination therapy with interferon-alpha and ribavirin in a patient with chronic Hepatitis C.

    abstract::After nine weeks of combination therapy with recombinant interferon-alpha and ribavirin for chronic hepatitis C a 62-year old woman complained of a dry cough and exertional dyspnea. An elevated erythrocyte sedimentation rate was noticed. Prior to treatment chest X-rays and physical examination revealed no pulmonary ab...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-2002-33879

    authors: Rothfuss KS,Bode JC

    更新日期:2002-09-01 00:00:00

  • [Gastrointestinal stromal tumours (GIST) of the jejunum in a patient with neurofibromatosis type 1 (von Recklingshausen's disease)].

    abstract:CASE REPORT:A 72-year-old female patient with known neurofibromatosis type 1 was admitted to the hospital with symptomatic anaemia and a history of melaena. Upper and lower endoscopy did not show any signs of bleeding. Ultrasound and computed tomography revealed an abdominal mass. The histological analysis of a US-guid...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-2004-813587

    authors: Köppen S,Wejda B,Dormann A,Hoffmeister D,Stolte M,Huchzermeyer H

    更新日期:2004-10-01 00:00:00

  • [The diagnostic importance of low-density lipoprotein (LP-X) for the diagnosis of cholestasis].

    abstract::Based on the clinical, biochemical and morphological examination of a selected group of patients, the following may be said about low-density lipoprotein (LP-X): The LP-X test 1. proves to be a reliable method of examination for diagnosing cholestasis. It is a quick and simple test; 2. has a highly significant statist...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:

    authors: Michel B,Ritter U

    更新日期:1976-09-01 00:00:00

  • Malabsorption associated with a high-grade-malignant non-Hodgkin's lymphoma, alpha-heavy-chain disease and immunoproliferative small intestinal disease.

    abstract::We report on a 28 year old Turkish woman, who was admitted to our hospital with the symptoms of malabsorption and protein-loosing enteropathy. Histologically, on duodenal biopsy, a lymphoplasmacellular infiltration of the submucosa with partial to subtotal atrophy of the villi was found. An immunoproliferative small i...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:

    authors: Hubmann R,Kaiser W,Radaszkiewicz T,Fridrik M,Zazgornik I

    更新日期:1995-04-01 00:00:00

  • [Gastric acid and parotid secretion in obesity [greater than 55%] (author's transl)].

    abstract::In order to investigate exocrine secretory activity in obesity we studied gastric acid and parotid secretion in 22 massively obese patients (greater than 55% overweight); 15 normal persons were taken as controls. Basal and stimulated secretory values were determined. Basal acid output (BAO) in the obese (4,10 +/- 3,8 ...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:

    authors: Malfertheiner P,Wechsler JG,Ditschuneit HH,Ditschuneit H

    更新日期:1981-06-01 00:00:00

  • The pancreatic head is larger than often assumed.

    abstract::Reference values for B-mode abdominal ultrasound are controversially discussed in the literature mainly due to the lack of data and non-standardized examination techniques. A cohort of 100 patients was prospectively examined. Patients with hepatobiliary diseases including gallstones, acute or chronic pancreatitis (n =...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-0033-1335175

    authors: Pirri C,Cui XW,De Molo C,Ignee A,Schreiber-Dietrich DG,Dietrich CF

    更新日期:2013-04-01 00:00:00

  • Severe gastrointestinal disease due to HIV-1-seronegative AIDS.

    abstract::An HIV-1 seronegative man presented with odynophagia, dysphagia, diarrhea, tenesmus and a 50-lb weight loss. A large esophageal ulcer and a rectal fissure were identified endoscopically. Stool samples and biopsy specimens from the esophageal ulcer, duodenum, colon and rectum were negative for pathogens. Seronegative A...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-2007-963051

    authors: Mönkemüller K,Fry LC,Decker JM,Rickes S,Smith PD

    更新日期:2007-08-01 00:00:00

  • Alcohol and liver fibrosis--pathobiochemistry and treatment.

    abstract::In Western societies roughly 50% of all cases of liver cirrhosis are related to alcohol abuse. The oxidative metabolite of ethanol, acetaldehyde, often in conjunction with viral or metabolic liver disease, is implicated as the major cause for liver fibrogenesis. Acetaldehyde damages cell membranes, initiates lipid per...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章,评审

    doi:

    authors: Schuppan D,Atkinson J,Ruehl M,Riecken EO

    更新日期:1995-09-01 00:00:00

  • [New endoscopic therapies for gastroesophageal reflux disease].

    abstract::The growing data about new endoscopic therapies for gastroesophageal reflux disease (GERD) seem to indicate that these techniques might be effective at least in a part of patients suffering from GERD. However, up to now it is not clear which technique is the best. Randomized studies comparing the different techniques ...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2003-41824

    authors: Bittinger M,Messmann H

    更新日期:2003-09-01 00:00:00

  • Cryoglobulinemia in chronic hepatitis C virus infection: prevalence, clinical manifestations, response to interferon treatment and analysis of cryoprecipitates.

    abstract::Chronic hepatitis C virus infection can be associated with mixed cryoglobulinemia and systemic vasculitis. The pathogenesis remains poorly understood. 55 consecutive patients with chronic HCI infection (anti-HCV- and serum HCV RNA-positive) were studies prospectively. Cryoglobulinemia was detected in 28 patients (51%)...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:

    authors: Hartmann H,Schott P,Polzien F,Mihm S,Uy A,Kaboth U,Pardowitz I,Ramadori G

    更新日期:1995-11-01 00:00:00

  • [The use of ultrasound in the diagnosis of gastrointestinal tumors (author's transl)].

    abstract::In 19 patients with gastrointestinal tumors the diagnosis was made by ultrasound. 7 patients were examined for further investigation of an abdominal mass; 12 patients, presented with symptoms suggesting malignants, e. g. weight loss, vomiting, fever, abdominal pain, and/or anaemia from bloodloss were first investigate...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:

    authors: Schwerk WB,Braun B

    更新日期:1978-07-01 00:00:00

  • Impaired bolus clearance in combined high-resolution esophageal manometry and impedance measurement helps to differentiate between esophagogastric junction outflow obstruction and achalasia.

    abstract::Introduction and aims High-resolution esophageal manometry (HRM) has improved the diagnostic work-up of esophageal motility disorders. Simultaneous evaluation of bolus clearance delivers useful information about the function of tubular esophagus. We assessed bolus clearance in a combined HRM-impedance examination for ...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-0042-121267

    authors: Zizer E,Seufferlein T,Hänle MM

    更新日期:2017-02-01 00:00:00

  • Penile and scrotal swelling in Crohn's disease: a case report.

    abstract::Penile and scrotal swelling considered as metastatic Crohn's disease is described in a 23 years-old-man. Clinical features and therapeutic options of this rare manifeatation are reviewed. ...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-0028-1109450

    authors: Kaess H,Nitsche U

    更新日期:2009-09-01 00:00:00

  • [Pharmacotherapy in patients with ulcerative colitis].

    abstract:BACKGROUND:Patients with ulcerative colitis experience various impairments. The pharmacological treatment of the disease comprises 5-aminosalicylic acid, corticosteroids as well as immunomodulatory and biological agents. Little self-reported data exist on the prescription of these drugs. METHODS:This cross-sectional s...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-0031-1273276

    authors: Scherer M,Hardt J,Blozik E,Preiss JC,Bokemeyer B,Hüppe A,Raspe H

    更新日期:2011-07-01 00:00:00

  • [Good remission under HER2 blockade in an advanced carcinoma of the oesophagogastric junction with only focal HER2 overexpression].

    abstract::Gastric cancer and cancer of the oesophagogastric junction is diagnosed in the locally advanced or metastatic setting in 55 - 65 % of the cases and is generally treated with perioperative or palliative chemotherapy. For patients with metastatic disease, it is important to reliably determine the HER2 status for potenti...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-0043-116493

    authors: Gaiser T,Hirsch D,Hofheinz RD

    更新日期:2017-09-01 00:00:00

  • Colonic fermentation as affected by antibiotics and acidic pH: Application of an in vitro model.

    abstract::Antimicrobial substances such as vancomycin or metronidazole suppress normal gut flora, thereby preventing physiological fermentation of colonic substrates that may promote mucosal inflammation. This study was designed to establish an in vitro model of microbial metabolism in the colon under control and disturbed cond...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-2001-18537

    authors: Bender A,Breves G,Stein J,Leonhard-Marek S,Schröder B,Winckler C

    更新日期:2001-11-01 00:00:00

  • Use of isolated liver perfusion in metabolic studies: ground-laying work in experimental hepatology.

    abstract::Modern metabolic research in hepatology employs non-invasive techniques of the whole organism, and it includes studying the intact organ. Following recent decades of efforts in culturing isolated cells and studying their properties separately, it has become clear that the spatiotemporal organisation of different cell ...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0031-1273392

    authors: Sies H

    更新日期:2011-06-01 00:00:00