Brucella peritonitis and leucocytoclastic vasculitis due to Brucella melitensis.
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.
Dizbay
Murat
M
Department of Clinical Microbiology and Infectious Diseases, School of Medicine, Gazi University, Ankara, Turkey. muratdizbay@gazi.edu.tr
Hizel
Kenan
K
Kilic
Selcuk
S
Mutluay
Ruya
R
Ozkan
Yavuz
Y
Karakan
Tarkan
T
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*
D000900:Anti-Bacterial Agents