[A rare cause of infection in chronic dialysis patients: Malta fever (febris undulans melitensis)].
A 45-years-old Greek patient developed septicaemia in his 10th year of hemodialysis treatment. Clinical investigation was directed first on bacterial infection of the arteriovenous shunt, on urosepsis or bronchopulmonary infection. Then, serologically (Widal's reaction and ELISA-test) and in different blood-cultures Brucella melitensis was detected as causative agent for Malta fever (Febris undulans). The focus of infection is suspected in unpasteurized sheep-milk cheese of mediterranean origine, wherein Brucella species can survive for months. The patient was treated effectively by a combination of amoxycilline and clavulanic acid.
Stich-Kreitner
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V
Medizinische Klinik A, Klinikum der Landeshauptstadt Wiesbaden.
Piper
C
C
Schassan
H H
HH
von Egidy
H
H
D000658:Amoxicillin / Q000627:therapeutic use; D002006:Brucellosis / Q000188:drug therapy / Q000209:etiology*; D002611:Cheese / Q000009:adverse effects; D019818:Clavulanic Acid; D002969:Clavulanic Acids / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005516:Food Microbiology; D005921:Glomerulonephritis / Q000628:therapy*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D018805:Sepsis / Q000209:etiology*
D002969:Clavulanic Acids; D019818:Clavulanic Acid; D000658:Amoxicillin
Seltene Sepsisursache bei chronischem Dialysepatienten: Maltafieber (Febris undulans melitensis).