Spontaneous bacterial peritonitis due to Brucella melitensis in a cirrhotic patient
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Tarih
2005
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info:eu-repo/semantics/openAccess
Özet
Abstract: Spontan bakteriyel peritonit ileri sirotik hastalarda %15-20 oranında rapor edilmiş iyi bilinen bir durumdur. Escherichia coli ve Klebsiella pneumoniae spontan bakteriyel peritonitin en sık nedenleridir, Brucella oldukça nadirdir. Hepatoselüler kanseri de olan sirotik bir hastada böyle nadir bir durumu sunmayı amaçladık. Asitli bir sirotik hastanın rutin laboratuar testleri, abdominal ultrasonografisi ve periton sıvı incelemeleri yapıldı. Periton sıvısında beyaz küre 1300/mm3 idi ve lenfosit hakimiyeti vard› (%80). Periton sıvı ve kan kültüründe Brucella Melitensis üredi. Ayrıca, hastanın karaciğer sağ lobunda biyopsi ile hepatoselüler kanser olduğu doğrulanan bir kitle vardı. Standart tedavilere yanıt vermeyen ve hepatoselüler kanser gibi immün yetmezlik durumu olan spontan bakteriyel peritonitli siroz hastalarında Brucella spontan bakteriyel peritonit nedeni olarak akla gelmelidir.
Abstract: Spontaneous bacterial peritonitis is a well-known entity, with a reported incidence of 15-20% in advanced cirrhotic patients. Escherichia coli and Klebsiella pneumoniae are the most common causes of spontaneous bacterial peritonitis; Brucella is extremely rare. We aimed to present one case of such a rare condition in a cirrhotic patient who also had hepatocellular carcinoma. Routine laboratory tests, abdominal ultrasonography and peritoneal fluid examinations were studied in a cirrhotic patient with ascites. Peritoneal fluid white blood cell count was 1300/mm3, with lymphocyte predominance (80%). Peritoneal fluid and blood culture both yielded Brucella melitensis. The patient also had a mass in the right lobe of the liver confirmed as hepatocellular carcinoma by biopsy. Brucella should be suspected as a cause of spontaneous bacterial peritonitis in cirrhotic patients with no response to standard spontaneous bacterial peritonitis treatments and with immunodeficiency such as hepatocellular carcinoma.
Abstract: Spontaneous bacterial peritonitis is a well-known entity, with a reported incidence of 15-20% in advanced cirrhotic patients. Escherichia coli and Klebsiella pneumoniae are the most common causes of spontaneous bacterial peritonitis; Brucella is extremely rare. We aimed to present one case of such a rare condition in a cirrhotic patient who also had hepatocellular carcinoma. Routine laboratory tests, abdominal ultrasonography and peritoneal fluid examinations were studied in a cirrhotic patient with ascites. Peritoneal fluid white blood cell count was 1300/mm3, with lymphocyte predominance (80%). Peritoneal fluid and blood culture both yielded Brucella melitensis. The patient also had a mass in the right lobe of the liver confirmed as hepatocellular carcinoma by biopsy. Brucella should be suspected as a cause of spontaneous bacterial peritonitis in cirrhotic patients with no response to standard spontaneous bacterial peritonitis treatments and with immunodeficiency such as hepatocellular carcinoma.
Açıklama
Anahtar Kelimeler
Kaynak
Turkish Journal of Gastroenterology
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
16
Sayı
1
Künye
KANTARÇEKEN B,HARPUTLUOĞLU M. M,BAYINDIR Y,BAYRAKTAR M. R,ALADAĞ M,HİLMİOĞLU F (2005). Spontaneous bacterial peritonitis due to Brucella melitensis in a cirrhotic patient. Turkish Journal of Gastroenterology, 16(1), 38 - 40.
