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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
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Renal abscess caused by Brucella.

Jun Li1, Yaru Li2, Yan Wang1

  • 1Department of Infectious Diseases, Peking University First Hospital, 8 Xishiku Street, Xicheng District, Beijing, 100034, China.

International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases
|September 16, 2014
PubMed
Summary
This summary is machine-generated.

Renal brucelloma, a rare acute kidney infection caused by Brucella, can be successfully treated with antibiotics and ultrasound-guided aspiration. Prolonged treatment is crucial to prevent relapse of this serious condition.

Keywords:
Brucella melitensisBrucellosisRenal brucelloma

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Area of Science:

  • Nephrology
  • Infectious Diseases
  • Microbiology

Background:

  • Acute phase brucellosis rarely involves the renal parenchyma.
  • Renal brucelloma is an uncommon manifestation of Brucella infection.
  • Only two cases of renal brucelloma have been previously reported in English literature.

Observation:

  • A 45-year-old male presented with fever, hematuria, and a right kidney lesion.
  • Brucella melitensis was identified in blood and kidney aspirate cultures.
  • The patient had a relapse after initial antibiotic treatment.

Findings:

  • Successful treatment of renal brucelloma was achieved using a combination of antibiotics (minocycline, moxifloxacin, rifampin) and ultrasound-guided aspiration.
  • A prolonged treatment course was necessary to prevent relapse.
  • The patient remained relapse-free for over 20 months post-treatment.

Implications:

  • This case highlights the possibility of curing renal brucelloma with appropriate medical and interventional management.
  • Extended antibiotic therapy is essential for complete resolution and to avoid recurrence.
  • Close monitoring with serial blood cultures is critical to confirm treatment efficacy.