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Acute renal failure due to Brucella melitensis
Author(s) -
Özgür Dağlı,
Mehmet Dokur,
Gulcihan Guzeldag,
Yelda Ozmen
Publication year - 2011
Publication title -
the journal of infection in developing countries
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.322
H-Index - 49
eISSN - 2036-6590
pISSN - 1972-2680
DOI - 10.3855/jidc.1442
Subject(s) - brucella melitensis , medicine , doxycycline , brucellosis , orchitis , brucella , antibiotics , blood culture , titer , gastroenterology , surgery , immunology , microbiology and biotechnology , antibody , biology
We present the case of a 42-year-old male patient who applied to the emergency department of our hospital with clinical nephritis, orchitis, acute renal failure without endocarditis, and a low-grade fever. Brucella agglutinin titers were 1:160, Rose Bengal test was positive and Brucella melitensis was isolated from urine and blood cultures.. A combination of oral rifampin (600 mg/day) and doxycycline (200 mg/day) was administered along with supportive treatment leading to resolution of his clinical status by eight weeks. This was a rare complication of severe renal involvement due to brucellosis which resolved with antibiotic treatment.

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