Spontaneous Bacterial Peritonitis And Chylothorax Related To Brucella Infection In A Cirrhotic Patient

Abstract

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Keywords

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Spontaneous Bacterial Peritonitis And Chylothorax Related To Brucella Infection In A Cirrhotic Patient

Abstract

Başkent University, Faculty of Medicine, Departments of Gastroenterology1 and Pulmonary Disease2, Adana Teaching and Medical Research Center, Adana, Turkey Brucellosis can affect almost all organ systems in humans. Digestive symptoms have been reported in several series. Brucella infection is a chronic systemic disease, particularly in which there is reticuloendotelial system involvement. It can cause rarely hepatitis, cholecystitis or pancreatitis in the gastrointestinal tractus. Brucella infection can rarely cause spontaneous bacterial peritonitis. Although a variety of clinical presentations and complications involving various organ systems has been reported, peritoneal involvement is a very rare presentation. There has been no reported case of massive chylothorax in a cirrhotic patient due to brucellosis in the literature. This report presents a case of spontaneous bacterial peritonitis and chylothorax caused by Brucella melitensis

Keywords

• Brucella melitensis, chylothorax, spontaneous bacterial peritonitis

References

1. Bauze E, Garcia de la Torre M, Parras F. Brucella meningitis. Rev Infect Dis 1977; 9: 810-22
2. Hall WH. Modern chemotherapy for brucellosis in humans. Rev Infect Dis 1990;12:1060-99
3. Beales ILP. Spontaneous bacterial peritonitis due to Pasteurella multicida without animal exposure. Am J Gastroenterol 1999;94:1110-11
4. Demirkan F, Akalın HE, Şimşek H, Özyılkan E, Telatar H. Spontaneous peritonitis due to Brucella melitensis in a patient with cirrhosis. Eur J Clin Microbiol Infect Dis 1993;12:66-7
5. Özakyol AH, Sarıçam T, Zubaroğlu İ. Spontaneous bacterial peritonitis due to B.melitensis in a cirrhotic patient. AJG 1999;94:2572-3
6. Young EJ. Brucella species. In: Mandell GL, Bennett GE, Dolin R, eds. Principles and Practice of Infectious Diseases. Philadelphia: Churchill Livingstone; 2000. p. 2386-93
7. Young EJ: An overview of human brucellosis. Clinical Infectious Diseases 1995; 21: 283-90
8. Colmenero JD, Reguera JM, Sanchez-de- Mora D, et al. Complications associated with Brucella melitensis infection: a study of 530 cases. Medicine 1996;75: 195-211

9. Halim MA, Ayub A, Abdulkareem A, Ellis ME, Al-Gazlan S. Brucella peritonitis. J Infect Sep 1993;27:169-72
10. Alcala L, Munoz P, Rodriguez-Creixems M. Brucella spp. peritonitis. Am J Med 1999;107:300
11. Laziridis KN, Frank JW, Krowka MJ, et al. Hepatik hydrothorax : Pathogenesis, Diagnosis, and Management. Am J Med 1999:107; 262-7
12. Kakizaki S, Katakai K, Yoshinaga T, et al. Hepatik hydrothorax in absence of ascites. Liver 1998:18;216-20
13. Alberts WM, Salem AJ, Solomon AD, et al. Hepatik hydrothorax Cause and Management. Arch Inter Med 1991: 151;2283-8
14. Strauss RM, Boyer TD. Hepatik hydrothorax. Semin Liver Dis 1997:17;227-32
15. Campos RM, Filho LOA, Werebe ED. Thoracoscopy and talc poudrage in management of hepatik hydrothorax. Chest 2000:118;13-7
16. Dumont AE, Molholland JH. Flow rate and composition of thoracic duct lymph in patients with cirrhosis. N Engl J Med 1960:263;471-4
17. Staats BA, Ellefson RD, Prakash UBS, Dines DE, et al. The lipoprotein profile of chylous and nonchylous pleural effusions. Mayo Clin Proc 1980;55:700-4
18. Doerr C, Miller DL, Ryu JH. Chylothorax. Semin Respir Crit Care Med 2001;22: 617-26