Parlak Emine
Department of Infectious Diseases and Clinical Microbiology, Atatürk University Faculty of Medicine, Erzurum, Turkey.
Trop Doct. 2020 Oct;50(4):360-361. doi: 10.1177/0049475520929505. Epub 2020 Jun 6.
Brucellosis is the most common zoonosis in the world. It can affect several organs or systems, of which the genitourinary is the second most common after the musculoskeletal. Renal involvement in brucellosis takes the form of IgA nephropathy, interstitial nephritis, pyelonephritis, mixed cryoglobulinemia and kidney failure. While the agent can be isolated in urine, renal involvement is rare (<1%). We describe a case of a 58-year-old man presenting with oedema and proteinuria. Brucellosis is considered an aetiological factor in patients presenting with glomerulonephritis in endemic regions. Brucellosis serology may assist with the early diagnosis of this rare complication.
布鲁氏菌病是世界上最常见的人畜共患病。它可累及多个器官或系统,其中泌尿生殖系统是继肌肉骨骼系统之后第二常见受累的系统。布鲁氏菌病累及肾脏的形式有IgA肾病、间质性肾炎、肾盂肾炎、混合性冷球蛋白血症和肾衰竭。虽然病原体可在尿液中分离出来,但肾脏受累情况罕见(<1%)。我们描述了一例58岁男性出现水肿和蛋白尿的病例。在流行地区,布鲁氏菌病被认为是肾小球肾炎患者的一个病因。布鲁氏菌病血清学检查可能有助于早期诊断这种罕见并发症。