title: Isolated Brucella peritonitis in a CAPD patient.
abstract: Peritonitis is the most common complication in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). Brucellosis is a rare cause of bacterial peritonitis. Only 1 case was reported of a patient with brucella peritonitis during CAPD therapy. In that case, CAPD peritonitis was accompanied by acute brucellosis. We present the case of a patient with isolated brucella peritonitis receiving CAPD therapy without systemic manifestations of brucellosis who works as a farmer. Results of a serum agglutination test and blood cultures were negative; however, the patient's peritoneal fluid agglutination titer was 1:160 and samples inoculated into BACTEC (Becton Dickinson, NJ) bottles yielded Brucella melitensis. Because we were unable to isolate the organism in blood samples, transmission seems to be the result of direct inoculation, rather than hematogenous spreading. Therefore, our patient represents the first case of isolated brucella peritonitis during CAPD therapy. Successful treatment was obtained by using a treatment regimen of rifampin and doxycycline.
authors.affiliation: Department of Internal Medicine, Baskent University Faculty of Medicine, Ankara, Turkey. laleoz@gmail.com
authors.forename: Lale
authors.initials: L
authors.lastname: Ozisik
authors.forename: Beril
authors.initials: B
authors.lastname: Akman
authors.forename: Bulent
authors.initials: B
authors.lastname: Huddam
authors.forename: Ozlem Kurt
authors.initials: OK
authors.lastname: Azap
authors.forename: Ayse
authors.initials: A
authors.lastname: Bilgic
authors.forename: Siren
authors.initials: S
authors.lastname: Sezer
authors.forename: Nurhan
authors.initials: N
authors.lastname: Ozdemir
mesh_terms: D000328:Adult; D002006:Brucellosis / Q000175:diagnosis; D005260:Female; D006801:Humans; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010538:Peritonitis / Q000175:diagnosis / Q000382:microbiology*