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Brucella peritonitis in a patient on peritoneal dialysis

Adel Alothman1, Abdulrahman Al Khurmi, Sadoon Al Sadoon

  • 1Department of Medicine, King Abdulaziz Medical City, Riyadh, Kingdom of Saudi Arabia. alothman1384@yahoo.com

Saudi Journal of Kidney Diseases and Transplantation : an Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia
|May 1, 2008
PubMed

Insights

Brucellosis is common in Saudi Arabia, but Brucella peritonitis is rare. This case highlights a patient with chronic renal failure on dialysis who developed this uncommon infection, confirmed by peritoneal fluid culture and serology.

Area of Science:

  • Infectious Diseases
  • Nephrology
  • Microbiology

Background:

  • Brucellosis is a significant public health concern in Saudi Arabia.
  • Brucella peritonitis is a rare but serious complication of Brucellosis.
  • Chronic renal failure patients on continuous ambulatory peritoneal dialysis (CAPD) are susceptible to infections.

Observation:

  • A 67-year-old male patient with chronic renal failure on CAPD presented with symptoms suggestive of peritonitis.
  • The patient had been on CAPD for four months prior to presentation.
  • Clinical suspicion for Brucella peritonitis was raised due to the endemic nature of Brucellosis.

Findings:

  • Peritoneal fluid analysis revealed the presence of Brucella species.
  • Brucella serology tests were positive, confirming the diagnosis.
  • The patient was diagnosed with chronic Brucella peritonitis.

Implications:

  • This case underscores the importance of considering Brucella peritonitis in CAPD patients, especially in endemic areas.
  • Early diagnosis and appropriate antibiotic treatment are crucial for managing Brucella peritonitis in renal failure patients.
  • Highlights the need for increased awareness of Brucellosis complications in immunocompromised populations on dialysis.

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