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Classical Presentation of Acute Pyelonephritis in a Case of Brucellosis

Although Brucella species 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 r...

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Autores principales: Alfouzan, Wadha, Al-Sahali, Sara, Sultan, Hawra'a, Dhar, Rita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5216229/
https://www.ncbi.nlm.nih.gov/pubmed/28101501
http://dx.doi.org/10.1159/000446393
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author Alfouzan, Wadha
Al-Sahali, Sara
Sultan, Hawra'a
Dhar, Rita
author_facet Alfouzan, Wadha
Al-Sahali, Sara
Sultan, Hawra'a
Dhar, Rita
author_sort Alfouzan, Wadha
collection PubMed
description Although Brucella species 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 grew Brucella spp., 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.
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spelling pubmed-52162292017-01-18 Classical Presentation of Acute Pyelonephritis in a Case of Brucellosis Alfouzan, Wadha Al-Sahali, Sara Sultan, Hawra'a Dhar, Rita Case Rep Nephrol Dial Case Report Although Brucella species 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 grew Brucella spp., 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. S. Karger AG 2016-06-10 /pmc/articles/PMC5216229/ /pubmed/28101501 http://dx.doi.org/10.1159/000446393 Text en Copyright © 2016 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Case Report
Alfouzan, Wadha
Al-Sahali, Sara
Sultan, Hawra'a
Dhar, Rita
Classical Presentation of Acute Pyelonephritis in a Case of Brucellosis
title Classical Presentation of Acute Pyelonephritis in a Case of Brucellosis
title_full Classical Presentation of Acute Pyelonephritis in a Case of Brucellosis
title_fullStr Classical Presentation of Acute Pyelonephritis in a Case of Brucellosis
title_full_unstemmed Classical Presentation of Acute Pyelonephritis in a Case of Brucellosis
title_short Classical Presentation of Acute Pyelonephritis in a Case of Brucellosis
title_sort classical presentation of acute pyelonephritis in a case of brucellosis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5216229/
https://www.ncbi.nlm.nih.gov/pubmed/28101501
http://dx.doi.org/10.1159/000446393
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