title: Acute renal failure due to Brucella melitensis.
abstract: We present the case of a 42-year-old male patient who applied to the emergency department of our hospital with clinical nephritis, orchitis, acute renal failure without endocarditis, and a low-grade fever. Brucella agglutinin titers were 1:160, Rose Bengal test was positive and Brucella melitensis was isolated from urine and blood cultures.. A combination of oral rifampin (600 mg/day) and doxycycline (200 mg/day) was administered along with supportive treatment leading to resolution of his clinical status by eight weeks. This was a rare complication of severe renal involvement due to brucellosis which resolved with antibiotic treatment.
authors.affiliation: Department of Clinic for Infectious Disease, Kilis State Hospital, Kilis, Turkey. drozgurdagli@yahoo.com
authors.forename: Ozgur
authors.initials: O
authors.lastname: Dagli
authors.forename: Mehmet
authors.initials: M
authors.lastname: Dokur
authors.forename: Gulcihan
authors.initials: G
authors.lastname: Guzeldag
authors.forename: Yelda
authors.initials: Y
authors.lastname: Ozmen
mesh_terms: D058186:Acute Kidney Injury / Q000175:diagnosis* / Q000209:etiology / Q000382:microbiology / Q000628:therapy; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001769:Blood / Q000382:microbiology; D017347:Brucella melitensis / Q000302:isolation & purification* / Q000472:pathogenicity; D002006:Brucellosis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D004318:Doxycycline / Q000008:administration & dosage; D006801:Humans; D008297:Male; D012293:Rifampin / Q000008:administration & dosage; D014556:Urine / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents; D004318:Doxycycline; D012293:Rifampin