A case of Brucella pyelonephritis: a rare case
Un caso de pielonefritis por Brucella: un caso raro
Sevil Alkan, Emine Kübra Dindar Demiray, Nurullah Tarhan, Taylan Önder
Abstract
Brucellosis is a zoonotic disease, seen globally, especially in developing countries and it can affect many organs. Urinary involvement of this disease is a very rare. Pyelonephritis, interstitial nephritis, glomerulonephritis, nephropathy are the reported urinary involvements. In this study, we aimed to report a case of Brucella pyelonephritis, who had complaints mimicking acute bacterial pyelonephritis, with a history of polycystic kidney disease and calculi in the left kidney.
Keywords
Resumen
La brucelosis es una enfermedad zoonótica, vista globalmente, especialmente en países en vías de desarrollo y puede afectar muchos órganos. La afectación urinaria de esta enfermedad es muy rara. Pielonefritis, nefritis intersticial, glomerulonefritis y nefropatía son los compromisos urinarios reportados. En este estudio, nuestro objetivo fue informar un caso de pielonefritis por Brucella, que tenía síntomas que simulaban una pielonefritis bacteriana aguda, con antecedentes de poliquistosis renal y cálculos en el riñón izquierdo.
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References
1. Aygen B, Doganay M, Sumerkan B, Yildiz O, Kayabas U. Clinical manifestations, complications and treatment of brucellosis: a retrospective evaluation of 480 patients. Med Mal Infect. 2002;32(9):485-93. doi: 10.1016/S0399-077X(02)00403-1.
2. Rodríguez-Alonso B, Almeida H, Alonso-Sardón M, Velasco-Tirado V, Romero-Alegria Á, Pardo-Lledias J, et al. Epidemiological assessment of 5598
brucellosis inpatients in Spain (1997-2015). Epidemiol Infect. 2021;149:e149. doi: 10.1017/S0950268821001151.
3. Balkan Bozlak ÇE, Celebi Ö. A New Perspective to the Brucellosis From East of Turkey; Does the Infections Really Decrease Over the Years? New Trend Med Sci. 2021;2(1):69-74.
4. Erkoç MF, Alkan S. An unusual cause of orchiectomy: Brucella epididymo-orchitis that does not respond to the treatment. J Microbiol Infect Dis. 2015;5(2):89-92. doi: 10.5799/ahinjs.02.2015.02.0183.
5. Alkan-Çeviker S, Günal Ö, Elmaslar-Mert HT, Köksal E. [Brucella septic arthritis and abscess in hand joint]. Klimik Derg. 2020;33(2):185-7. doi: 10.5152/kd.2020.39.
6. Turunç T, Kurşun E, Demiroğlu Yz, Alışkan E. [Involvement and Complications Associated with Brucellosis Connected Rare Evaluation of 46 Cases]. Cukurova Medical Journal. 2014;39(4):829-39.
7. Erdem H, Elaldi N, Ak O, Gulsun S, Tekin R, Ulug M, et al. Genitourinary brucellosis: results of a multicentric study. Clin Microbiol Infect. 2014;20(11):O847-53. doi: 10.1111/1469-0691.12680.
8. Üstün C, Güven T. [A case of brucellosis complicated with acute pyelonephritis]. Dicle Tıp Dergisi. 2010;37(2):151-3.
9. Vallianou NG, Geladari E, Trigkidis K, Kokkinakis E. Pyelonephritis due to Brucella species: true clinical entity or ghost disease? New Microbes New Infect. 2016;15:33-34. doi: 10.1016/j.nmni.2016.10.001.
10. Acar A, Turhan V, Diktaş H, Oncül O, Cavuşlu S. [A case of brucellosis complicated with endocarditis, pyelonephritis, sacroileitis and thyroiditis]. Mikrobiyol Bul. 2009;43(1):141-5.
11. Honey RM, Gelfand M, Myers NH. Chronic brucella pyelonephritis with calcification; short review of the literature and report of a case. Cent Afr J Med. 1957;3(11):465-8.
12. Alfouzan W, Al-Sahali S, Sultan H, Dhar R. Classical Presentation of Acute Pyelonephritis in a Case of Brucellosis. Case Rep Nephrol Dial. 2016;6(2):83-88. doi: 10.1159/000446393.
13. Li J, Li Y, Wang Y, Huo N, Wan H, Lin X, et al. Renal abscess caused by Brucella. Int J Infect Dis. 2014;28:26-8. doi: 10.1016/j.ijid.2014.07.019.
14. Onaran M, Sen I, Polat F, Irkilata L, Tunc L, Biri H. Renal brucelloma: a rare infection of the kidney. Int J Urol. 2005;12(12):1058-60. doi: 10.1111/j.1442-2042.2004.01207.x.
15. Bartralot R, García-Patos V, Repiso T, Alegre J, Fernández de Sevilla T, Marqués A, et al. Liquefactive panniculitis in the inguinal area as the first sign of chronic renal brucellosis. J Am Acad Dermatol. 1996;35(2 Pt 2):339-41. doi: 10.1016/s0190-9622(96)90665-9.
Submitted date:
12/11/2021
Reviewed date:
01/25/2022
Accepted date:
02/14/2022
Publication date:
02/23/2022