title: Classical Presentation of Acute Pyelonephritis in a Case of Brucellosis.
abstract: AlthoughBrucellaspecies is known to affect almost all organs in humans, renal involvement presenting as acute pyelonephritis remains a rare entity in brucellosis. We report the case of a female patient who presented with symptoms of fever with chills, right loin pain and dysuria in the emergency room. Blood cultures drawn at the time of admission grewBrucellaspp., but no organisms were isolated from urine culture although urinalysis data was indicative of urinary tract infection. Empiric therapy with piperacillin/tazobactam plus gentamicin relieved her symptoms. However, the treatment was switched to doxycycline plus rifampicin once the blood culture result was obtained.
authors.affiliation: Microbiology Unit, Department of Laboratories, Al-Farwania Hospital, Kuwait City, Kuwait; Department of Microbiology, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait.
authors.forename: Wadha
authors.initials: W
authors.lastname: Alfouzan
authors.affiliation: Microbiology Unit, Department of Laboratories, Al-Farwania Hospital, Kuwait City, Kuwait.
authors.forename: Sara
authors.initials: S
authors.lastname: Al-Sahali
authors.affiliation: Department of Medicine, Al-Farwania Hospital, Kuwait City, Kuwait.
authors.forename: Hawra'a
authors.initials: H
authors.lastname: Sultan
authors.affiliation: Microbiology Unit, Department of Laboratories, Al-Farwania Hospital, Kuwait City, Kuwait.
authors.forename: Rita
authors.initials: R
authors.lastname: Dhar
keywords: Acute pyelonephritis; Bacteremia; Brucella spp.; Brucellosis