title: Brucella peritonitis and leucocytoclastic vasculitis due to Brucella melitensis.
abstract: Brucellosis is a multisystemic disease that rarely leads to a fatal outcome. While reticuloendothelial system organs are mostly affected, peritonitis and posthepatitic cirrhosis are also complications of brucellosis, though they are very rare. Brucella spp. can also trigger immunological reactions. We report a case of brucellosis with peritonitis, renal failure and leucocytoclastic vasculitis caused by Brucella melitensis, which led to a fatal outcome. Brucellosis should be considered in the differential diagnosis of vasculitic diseases, especially in endemic areas.
authors.affiliation: Department of Clinical Microbiology and Infectious Diseases, School of Medicine, Gazi University, Ankara, Turkey. muratdizbay@gazi.edu.tr
authors.forename: Murat
authors.initials: M
authors.lastname: Dizbay
authors.forename: Kenan
authors.initials: K
authors.lastname: Hizel
authors.forename: Selcuk
authors.initials: S
authors.lastname: Kilic
authors.forename: Ruya
authors.initials: R
authors.lastname: Mutluay
authors.forename: Yavuz
authors.initials: Y
authors.lastname: Ozkan
authors.forename: Tarkan
authors.initials: T
authors.lastname: Karakan
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017347:Brucella melitensis / Q000302:isolation & purification*; D002006:Brucellosis / Q000150:complications* / Q000188:drug therapy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000188:drug therapy / Q000382:microbiology*; D051437:Renal Insufficiency / Q000382:microbiology*; D012720:Severity of Illness Index; D018366:Vasculitis, Leukocytoclastic, Cutaneous / Q000188:drug therapy / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents