Isolated Brucella peritonitis in a CAPD patient

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
Lale OzisikNurhan Ozdemir

Abstract

Peritonitis is the most common complication in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). Brucellosis is a rare cause of bacterial peritonitis. Only 1 case was reported of a patient with brucella peritonitis during CAPD therapy. In that case, CAPD peritonitis was accompanied by acute brucellosis. We present the case of a patient with isolated brucella peritonitis receiving CAPD therapy without systemic manifestations of brucellosis who works as a farmer. Results of a serum agglutination test and blood cultures were negative; however, the patient's peritoneal fluid agglutination titer was 1:160 and samples inoculated into BACTEC (Becton Dickinson, NJ) bottles yielded Brucella melitensis. Because we were unable to isolate the organism in blood samples, transmission seems to be the result of direct inoculation, rather than hematogenous spreading. Therefore, our patient represents the first case of isolated brucella peritonitis during CAPD therapy. Successful treatment was obtained by using a treatment regimen of rifampin and doxycycline.

References

Aug 29, 1998·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·J LocuturaF Saez-Royuela
Oct 31, 2000·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·S ZelenitskyG Harding
Jul 24, 2003·Scandinavian Journal of Infectious Diseases·Serap Gençer, Serdar Ozer
Aug 12, 2004·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·David KavanaghRobert A Mactier
Sep 17, 2004·Scandinavian Journal of Infectious Diseases·Cigdem Ataman HatipogluNecla Tulek
Jun 3, 2005·The New England Journal of Medicine·Georgios PappasEpameinondas Tsianos
Jul 16, 2010·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Philip Kam-Tao LiUNKNOWN International Society for Peritoneal Dialysis
Apr 9, 2013·BMJ Case Reports·Alexandre Oliveira FerreiraJosé Velosa

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Citations

Mar 3, 2012·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Yalcin SolakSuleyman Turk
Jul 20, 2010·Seminars in Dialysis·Ashley BroughtonEric Goffin
Oct 14, 2018·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Qingyu NiuMei Wang
Jul 13, 2013·Infection·H JaveriJ Cadena

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