A case of brucellosis with perinephritis presented as abdominal and low back pain in China

IF 1 Q4 INFECTIOUS DISEASES

IDCases Pub Date : 2025-01-01 DOI:10.1016/j.idcr.2025.e02372

Hang Li , Xiang Gao , Zi-yang Li , Xia Xu , Jian-ping Chen

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Abstract

Background

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.

Case presentation

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 Brucella agglutination test and blood culture.

Conclusions

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.

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布鲁氏菌病合并肾炎1例，表现为腹部和下背部疼痛

人类布鲁氏菌病是一种人畜共患感染，典型表现为发热、疲劳、厌食和骨关节疼痛。我们报告一个罕见的病例布鲁氏菌病并发肾炎，表现为腹部和下背部疼痛。病例表现男性，74岁，表现为发热、腹部和腰痛。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，无结构异常。在出现间歇性发热（38°C）时，流行病学史发现长期食用未经检查的羊肉。通过支持性布鲁氏菌凝集试验和血培养证实布鲁氏菌病伴会阴炎。结论腹膜肾炎是布鲁氏菌病的罕见并发症，不典型腹痛值得考虑人畜共患暴露。血清学检测（凝集试验）和血培养对高危患者的及时诊断仍然至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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