DOI: 10.12890/000_252
Brucella Non-Neutrocytic Bacterascites in a Patient with Chronic Liver Disease
Authors
telmapereiro@gmail.com
Keywords
Brucellosis, Brucella, Brucella mellitensis, peritonitis, spontaneous bacterial peritonitis, monomicrobial nonneutrocytic bacterascites.Abstract
Objectives: To report a case of Brucella peritonitis.
Patient and methods: We describe the case of a patient and present a brief review of the few published reports.
Results: The patient had alcoholic cirrhosis of the liver and was diagnosed with Brucella non-neutrocytic bacterascites.
Conclusion: Brucellosis is a common zoonosis with worldwide distribution. It is a systemic disease with the potential to predominantly affect one organ or a specific system (focal brucellosis). However, peritoneal focalization of this disease is a very rare presentation.
References
- Pappas G, Akritidis N, Bosilkovsky M, Tsianos E. Brucellosis. N Engl J Med 2005;352:2325–2336.
- Corbell MJ. Brucellosis in humans and animals. Geneva: WHO, FAO, OIE;2006.
- Pessegueiro P, Barata C, Correia J. Brucelose – uma revisão sistematizada. Medicina Interna 2003;10:91–100.
- Hatipoglu CA, Yetkin A, Ertem GT, Tulek N. Unusual clinical presentations of brucellosis. Scand J Infect Dis 2004;36:694–697.
- Alaniz C, Regal RE. Spontaneous bacterial peritonitis: a review of treatment options. P&T 2009;34:204–210.
- Runyon BA. Monomicrobial nonneutrocytic bacterascites: a variant of spontaneous bacterial peritonitis. Hepatology 1990;12:710–715.
- Caruntu FA, Benea L. Spontaneous bacterial peritonitis: pathogenesis, diagnosis, treatment. J Gastrointest Liver Dis 2006;15:51–56.
- Ferreira AO, Martins LN, Marinho RT, Velosa J. Spontaneous bacterial peritonitis by Brucella in a cirrhotic patient. BMJ Case Rep 2013; pii: bcr2013008629. doi: 10.1136/bcr-2013-008629.
- Roushan MRH, Mohraz M, Hajiahmadi M, Ramzani A, Valayati AA. Efficacy of gentamicin plus doxycycline versus streptomycin plus doxycycline in the treatment of brucellosis in humans. Clin Infect Dis 2006;42:1075–1080.