Case Report: Pulmonary brucellosis presenting as multiple cavitary lung lesions on imaging - Takeaways - MDSpire

Case Report: Pulmonary brucellosis presenting as multiple cavitary lung lesions on imaging

  • By

  • Tong Wang

  • Min Wang

  • Li Zhao

  • Guoke Tang

  • Lili Hou

  • May 7, 2026

  • 0 min

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  • 1

    Pulmonary brucellosis is a rare manifestation of brucellosis, often presenting with non-specific symptoms and atypical imaging findings.

  • 2

    A 76-year-old male exhibited bilateral cavitary lung lesions, worsening dyspnea, and systemic symptoms, leading to a diagnosis of pulmonary brucellosis.

  • 3

    Metagenomic next-generation sequencing confirmed Brucella species in bronchoalveolar lavage fluid, aiding in the diagnosis of this uncommon infection.

  • 4

    The patient responded positively to a prolonged antibiotic regimen, resulting in significant clinical and radiological improvement.

  • 5

    This case underscores the importance of considering pulmonary brucellosis in patients with livestock exposure and cavitary lung lesions.

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