Classical Presentation of Acute Pyelonephritis in a Case of Brucellosis

Cardiorenal Medicine

Hawra’a Sultan¹  Wadha Alfouzan¹  Rita Dhar¹  Sara Al-Sahali¹ 

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关键词: Acute pyelonephritis;    Brucellosis;    Brucella spp.;    Bacteremia;   

DOI  :  10.1159/000446393

来源: S Karger AG

【 摘 要 】

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.

【 授权许可】

Unknown