Li Hang, Gao Xiang, Li Zi-Yang, Xu Xia, Chen Jian-Ping
Department of Pain, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, Shanxi 030032, China.
Department of Laboratory Medicine, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, Shanxi 030032, China.
IDCases. 2025 Sep 15;42:e02372. doi: 10.1016/j.idcr.2025.e02372. eCollection 2025.
Human brucellosis, a zoonotic infection, typically manifests as fever, fatigue, anorexia, and osteoarticular pain. We report a rare case of brucellosis complicated by perinephritis, presenting with abdominal and low back pain.
A 74-year-old male presented with fever, abdominal and low back pain. Initial lumbar magnetic resonance imaging (MRI) demonstrated L4-5 disc herniation with foraminal and spinal canal stenosis, while abdominal computed tomography (CT) revealed perinephric inflammation without structural abnormalities. Upon developing intermittent fever (38 °C), epidemiological history uncovered chronic consumption of uninspected sheep meat. Brucellosis with perinephritis was confirmed via supportive agglutination test and blood culture.
Perinephritis is an uncommon complication of brucellosis, and atypical abdominal pain warrants consideration of zoonotic exposure. Serological testing (agglutination test) and blood culture remain critical for timely diagnosis in high-risk patients.
人类布鲁氏菌病是一种人畜共患感染病，典型症状为发热、疲劳、厌食和骨关节疼痛。我们报告一例罕见的布鲁氏菌病并发肾周炎病例，表现为腹痛和腰痛。
一名74岁男性患者出现发热、腹痛和腰痛症状。最初的腰椎磁共振成像（MRI）显示L4-5椎间盘突出伴椎间孔和椎管狭窄，而腹部计算机断层扫描（CT）显示肾周炎症但无结构异常。在出现间歇性发热（38°C）后，流行病学史显示患者长期食用未经检验的羊肉。通过支持性凝集试验和血培养确诊为布鲁氏菌病并发肾周炎。
肾周炎是布鲁氏菌病的一种罕见并发症，非典型腹痛应考虑人畜共患感染暴露。血清学检测（凝集试验）和血培养对于高危患者的及时诊断仍然至关重要。
