DOI: 10.12688/f1000research.187181.1 ISSN: 2046-1402

Case Report: Brucellosis Presenting as Acute cervical cellulitis: An atypical localization

Imen Zoghlami, Dorra Chiboub, Samer Ben Gaied, Yosser Lamine, Nadia Romdhane, Hedia Bellali, Ines Hariga, Chiraz Mbarek
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Abstract* Introduction Brucellosis is a zoonotic infection with diverse clinical manifestations. Cervical involvement is exceptionally rare and can resemble acute bacterial cellulitis. We report a case of brucellosis presenting as acute cervical cellulitis, along with a review of the literature. Case presentation We report the case of a 67-year-old man presenting with febrile cervical swelling. Evaluation included clinical examination, cervical CT scan, bacteriological analysis of abscess pus, and brucellosis serology. CT imaging showed a right latero-cervical collection. Culture of abscess pus isolated Brucella Melitensis and serology was positive. The patient underwent surgical drainage combined with targeted antibiotic therapy, with favorable outcome. Conclusion Cervical brucellosis is a rare presentation that may mimic common bacterial neck infections. Early diagnosis and appropriate management are essential for favorable outcome.

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