Abstract
Ülkemizde endemik bir infeksiyon hastalığı olan bruselloz, bakteriyemi ile seyreden bir hastalık olduğundan, farklı klinik tablolara neden olabilir. Polikliniğe yüksek ateş, üşüme-titreme, sık idrara çıkma ve sol yan ağrısıyla başvuran 44 yaşında erkek hasta akut piyelonefrit ön tanısıyla yatırıldı. Yapılan incelemelerde, hastada akut bruselloza bağlı akut piyelonefrit geliştiği saptandı. Bruselloza yönelik sekiz haftalık antibiyoterapi verilen hastanın tedavi sonrasında tam iyileştiği görüldü. Brusellozun endemik olduğu bölgelerde hastalar akut piyelonefrit bulgularıyla gelebilir. Endemik bölgelerde akut piyelonefrit bulgularıyla gelen hastalarda brusella serolojisinin de bakılması, nadir görülen bu komplikasyonun tanısında yararlı olabilir.
References
- Sümerkan B. Brucella türleri. In: Willke TA, Söyletir G, Do- ğanay M, eds. İnfeksiyon Hastalıkları ve Mikrobiyolojisi, 2. baskı. İstanbul: Nobel Tıp Kitabevleri, 2002:1647-52.
- Ceylan M, Karahocagil MK, Soyoral Y, et al. Renal involve- ment in brucella infection. Urology 2009;73:1179-83.
- Aygen B, Doğanay M, Sümerkan B, Yıldız O, Kayabaş Ü. Clinical manifestations, complications and treatment of brucellosis: a retrospective evaluation of 480 patients. Med Mal Infect 2002;32:485-93.
- Siegelmann N, Abraham AS, Rudensky B, Shemesh O. Bru- cellosis with nephrotic syndrome, nephritis and IgA neph- ropathy. Postgrad Med J 1992;68:834-6.
- Abu Romeh SH, Kozma GN, Johny KV, Sabha M. Bru- cella endocarditis causing acute renal failure. Nephron 1987;46:388-9.
- Lazcano IH, Mendez LS, Santos JS. Mixed cryoglobuline- mia with renal failure, cutaneous vasculitis and peritonitis due to Brucella melitensis. J Infect 2005;51:257-9.
- Fattah HA, Khuffash FA. Reversible renal failure in a child with brucellosis: a case report. Ann Trop Paediatr. 1984;4:247-50.
Abstract
Brucellosis, is an endemic disease in our country, may lead to bacteremia and cause different clinic manifestations. A 44-year-old male patient admitted to our policlinic with high fever, shivering, chilling, pollacuria, and left costovertebral pain, and interned with diagnosis of acute pyelonephritis. Subsequently, acute pyelonephritis due to acute brucellosis was detected in the clinical and laboratory examination. Antibiotic treatment for brucellosis was given to patient for eight week and after treatment full recovery was seen. Patients with brucellosis may refer with symptoms of acute pyelonephritis in endemic areas for brucellosis. By using brucellos serologies to patients who have the symptoms of acute pyelonephritis may available in the diagnosis of this rare complication in areas where brucellosis is endemic.
References
- Sümerkan B. Brucella türleri. In: Willke TA, Söyletir G, Do- ğanay M, eds. İnfeksiyon Hastalıkları ve Mikrobiyolojisi, 2. baskı. İstanbul: Nobel Tıp Kitabevleri, 2002:1647-52.
- Ceylan M, Karahocagil MK, Soyoral Y, et al. Renal involve- ment in brucella infection. Urology 2009;73:1179-83.
- Aygen B, Doğanay M, Sümerkan B, Yıldız O, Kayabaş Ü. Clinical manifestations, complications and treatment of brucellosis: a retrospective evaluation of 480 patients. Med Mal Infect 2002;32:485-93.
- Siegelmann N, Abraham AS, Rudensky B, Shemesh O. Bru- cellosis with nephrotic syndrome, nephritis and IgA neph- ropathy. Postgrad Med J 1992;68:834-6.
- Abu Romeh SH, Kozma GN, Johny KV, Sabha M. Bru- cella endocarditis causing acute renal failure. Nephron 1987;46:388-9.
- Lazcano IH, Mendez LS, Santos JS. Mixed cryoglobuline- mia with renal failure, cutaneous vasculitis and peritonitis due to Brucella melitensis. J Infect 2005;51:257-9.
- Fattah HA, Khuffash FA. Reversible renal failure in a child with brucellosis: a case report. Ann Trop Paediatr. 1984;4:247-50.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | June 1, 2010 |
| Submission Date | March 2, 2015 |
| Published in Issue | Year 2010 Volume: 37 Issue: 2 |