Dizbay Murat, Hizel Kenan, Kilic Selcuk, Mutluay Ruya, Ozkan Yavuz, Karakan Tarkan
Department of Clinical Microbiology and Infectious Diseases, School of Medicine, Gazi University, Ankara, Turkey.
Braz J Infect Dis. 2007 Aug;11(4):443-4. doi: 10.1590/s1413-86702007000400017.
Brucellosis is a multisystemic disease that rarely leads to a fatal outcome. While reticuloendothelial system organs are mostly affected, peritonitis and posthepatitic cirrhosis are also complications of brucellosis, though they are very rare. Brucella spp. can also trigger immunological reactions. We report a case of brucellosis with peritonitis, renal failure and leucocytoclastic vasculitis caused by Brucella melitensis, which led to a fatal outcome. Brucellosis should be considered in the differential diagnosis of vasculitic diseases, especially in endemic areas.
布鲁氏菌病是一种多系统疾病，很少导致致命后果。虽然网状内皮系统器官大多会受到影响，但腹膜炎和肝炎后肝硬化也是布鲁氏菌病的并发症，不过非常罕见。布鲁氏菌属也可引发免疫反应。我们报告一例由羊布鲁氏菌引起的伴有腹膜炎、肾衰竭和白细胞破碎性血管炎的布鲁氏菌病病例，该病例导致了致命后果。在血管炎性疾病的鉴别诊断中应考虑布鲁氏菌病，尤其是在流行地区。
