<i>Brucella</i> Peritonitis in a Patient on Peritoneal Dialysis: Case Report and Literature Review

Niu, Qingyu; Zhao, Hongxia; Chen, Mei‐Fang; Wu, Bei; Wang, Peng; Lü, Lixia; Marshall, Mark R.; Zuo, Li; Wang, Mei

doi:10.3747/pdi.2018.00115

Cited by 9 publications

(16 citation statements)

References 23 publications

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“…However, our patient was successfully treated with antibiotics without the removal of the PD catheter. Niu et al suggested that catheter removal should be considered for those patients with severe manifestations, who are unresponsive despite optimal treatment with intraperitoneal antibiotics and appropriate oral antibiotics [ 16 ]. Several studies have shown that it is necessary to use antibiotics for at least six weeks or more to avoid relapse or develop resistance [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have shown that it is necessary to use antibiotics for at least six weeks or more to avoid relapse or develop resistance [ 6 ]. The best results are observed when antimicrobial treatment is administered early in combination therapy with adequate dosing [ 16 ]. The treatment commonly used for children is age-specific.…”

Section: Discussionmentioning

confidence: 99%

“…In most of the reported cases, doxycycline and rifampicin were administered. Levofloxacin or ciprofloxacin was added in some cases [ 16 , 17 ]. Ceftriaxone was administered to one patient, who could not tolerate doxycycline [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

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Brucella Peritonitis in a Patient on Peritoneal Dialysis: A Case Report and Review of Literature

Zabali¹,

Rubaihan²,

Alnetaifat³

et al. 2021

Cureus

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Peritoneal dialysis (PD)-associated peritonitis is the most common cause of morbidity, mortality, and treatment failure in patients on PD. Brucellosis is a worldwide zoonotic infectious disease caused by gram-negative bacteria of the genus Brucella . It is a major public issue in some regions. According to the World Health Organization report in 2011, the Kingdom of Saudi Arabia is considered endemic for brucellosis. Brucella peritonitis is one of the rarest presentations of Brucella . We report a case of a 14-year-old girl known to have end-stage renal disease, secondary to the autosomal recessive polycystic kidney. She had congenital hepatic fibrosis and pancytopenia. She had been undergoing automated PD for the past seven years and presented with abdominal pain, seizure, and poor feeding. There was no history of ingestion of unpasteurized milk or contact with raw infected animal products. The color of PD fluid was turbid with leukocytosis, predominantly neutrophils. The peritoneal fluid culture was positive for methicillin-resistant Staphylococcus aureus . The patient was started on intraperitoneal vancomycin, which showed slow improvement. The second culture of the peritoneal fluid showed Brucella species after a few days. Blood culture and serum serology titer for Brucella showed negative results. An anti- Brucella regimen, including rifampin and doxycycline, was initiated. She was treated with this regimen for six weeks. After the initiation of the anti- Brucella regimen, she showed marked improvement. To the best of our knowledge, only a small number of cases of Brucella peritonitis in PD patients have been reported. Despite the rarity of Brucella as a peritonitis-causing organism, it should be considered as a relevant pathogen in peritonitis cases, especially in endemic regions. PD-associated Brucella peritonitis is rare, and PD catheter saving may be considered if there is a response to anti- Brucella treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Brucella Peritonitis in a Patient on Peritoneal Dialysis: A Case Report and Review of Literature

Zabali¹,

Rubaihan²,

Alnetaifat³

et al. 2021

Cureus

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“…This case represents a probable endometrioma sub infection, noting that the patient presented a 4.2 cm endometrioma on a previous ultrasound. To our knowledge, 8 cases of documented acute peritonitis due to brucella infection [ 18 ], and 2 cases of dermoid cyst subinfection were found in the literature.…”

Section: Discussionmentioning

confidence: 99%

Brucella pelvic tubo-ovarian abscess with a history of chronic brucellosis

Najib

Abdallah

Haddad

et al. 2021

IDCases

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Brucellosis is a zoonotic disease located especially in Central and South America, India, the Mediterranean and the Middle East. Human brucellosis occurs as a systemic infectious disease with various clinical manifestations. We present a case of 45-year-old female patient, nulliparous, not sexually active, with a previous medical history of a treated brucellosis, and no surgical or gynecological history. The patient presented with a history of fever for 7 days of 39 degrees Celsius, chills and acute abdominal pain. She was diagnosed with diffuse peritonitis with left tubo-ovarian abscess and was admitted for an urgent diagnostic laparoscopy. A left adnexectomy was performed. The diagnosis of genital brucellosis was made. This case report discusses an unusual complication of brucellosis represented by a tubo-ovarian abscess associated with acute peritonitis, treated by a laparoscopic adnexectomy and antimicrobials. Acute peritonitis associated with a tubo-ovarian abscess is an unusual complication of brucellosis.

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“…Huiping Zhao et. al., worked on the concept of intraperitoneal method and the prolonged oral antibodies technique to treat the patients with peritonitis [7]. Brucollis is caused by the brucella.…”

Section: Paper Surveymentioning

confidence: 99%

Design of Mobile Hemodialysis Apparatus for Acute Renal Failure Patient's Self-Help and Treatment Adherence

2019

ijrte

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The major intend of the nephrologists is to reduce the hardships faced by the patients affected with renal ailments. Kidney failure or renal failure is a condition where the function of kidney gets disabled/affected at large. This condition may neither be temporary or lifelong but in order to sustain in life, dialysis was adopted. The dialysis is a technical replacement of function of kidney and its process has two sectors; peritoneal dialysis and hemodialysis. In considering the long term blood filtering process, the hemodialysis will be an efficient device in replacing the renal functioning, but it was currently performed in the stable mode. In undergoing the deep survey, our team has analyzed that the major problem in the dialysis is the duration, cost, difficulties faced by the patients. In order to overcome these barriers, the prototype of the portable technology has been built for highly supporting the patients. In order to fulfill the life supporting requirement, the “Miniaturized portable hemodialysis” device has been introduced which will be portable than the conventional ones.

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Brucella Peritonitis in a Patient on Peritoneal Dialysis: Case Report and Literature Review

Cited by 9 publications

References 23 publications

Brucella Peritonitis in a Patient on Peritoneal Dialysis: A Case Report and Review of Literature

Brucella Peritonitis in a Patient on Peritoneal Dialysis: A Case Report and Review of Literature

Brucella pelvic tubo-ovarian abscess with a history of chronic brucellosis

Design of Mobile Hemodialysis Apparatus for Acute Renal Failure Patient's Self-Help and Treatment Adherence

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