Clinical Insights into Brucella Peritonitis: A Comprehensive Analysis of Four Cases

Abstract Introduction Brucellosis, a globally distributed zoonotic disease, exhibits diverse clinical manifestations, with Brucella peritonitis being a rare but consequential complication. Methods Analyzing the medical records of four patients with Brucella peritonitis admitted to the First People’s...

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Published in:Journal of Epidemiology and Global Health 2024-08, Vol.14 (3), p.1300-1304
Main Authors: Pan, Shufang, Moming, Zulipiya, Awuti, Abuduweili, Zhou, Kaixiang, Tuerxun, Maimaitiaili, Chong, Yutian, Zhu, Jianyun
Format: Article
Language:English
Subjects:
Brucellosis
Liver cirrhosis
Peritonitis
Spontaneous bacterial peritonitis
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container_issue 3
container_start_page 1300
container_title Journal of Epidemiology and Global Health
container_volume 14
creator Pan, Shufang
Moming, Zulipiya
Awuti, Abuduweili
Zhou, Kaixiang
Tuerxun, Maimaitiaili
Chong, Yutian
Zhu, Jianyun
description Abstract Introduction Brucellosis, a globally distributed zoonotic disease, exhibits diverse clinical manifestations, with Brucella peritonitis being a rare but consequential complication. Methods Analyzing the medical records of four patients with Brucella peritonitis admitted to the First People’s Hospital of Kashi Region from January 2022 to November 2023. A retrospective approach was used to analyze the general data, epidemiological history, clinical features, laboratory tests, and efficacy. All four patients with Brucella peritonitis were farmers. Results All of them were combined with decompensated stage of liver cirrhosis. The main manifestations were poor appetite, fatigue, bloating. Two patients were accompanied by moderate-high fever. All patients presented with mildly elevated C-reactive protein and procalcitonin 
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Methods Analyzing the medical records of four patients with Brucella peritonitis admitted to the First People’s Hospital of Kashi Region from January 2022 to November 2023. A retrospective approach was used to analyze the general data, epidemiological history, clinical features, laboratory tests, and efficacy. All four patients with Brucella peritonitis were farmers. Results All of them were combined with decompensated stage of liver cirrhosis. The main manifestations were poor appetite, fatigue, bloating. Two patients were accompanied by moderate-high fever. All patients presented with mildly elevated C-reactive protein and procalcitonin &lt; 0.25ng/ml. Brucella was cultured from blood in 2 cases, from pleural fluid in 1 case, and from ascitic fluid in another case. All patients had moderate-to-large amounts of ascites with elevated leukocytes in the ascites, predominantly mononuclear cells. Symptoms of the above patients were reduced or disappeared after effective anti-infection. Conclusion When patients with decompensated cirrhosis present with exudative ascites dominated by elevated mononuclear cells, the possibility of Brucella peritonitis should also be considered in areas where brucellosis is endemic.</description><identifier>ISSN: 2210-6006</identifier><identifier>EISSN: 2210-6014</identifier><identifier>DOI: 10.1007/s44197-024-00287-5</identifier><identifier>PMID: 39186210</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Brucellosis ; Liver cirrhosis ; Peritonitis ; Spontaneous bacterial peritonitis</subject><ispartof>Journal of Epidemiology and Global Health, 2024-08, Vol.14 (3), p.1300-1304</ispartof><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11442879/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11442879/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids></links><search><creatorcontrib>Pan, Shufang</creatorcontrib><creatorcontrib>Moming, Zulipiya</creatorcontrib><creatorcontrib>Awuti, Abuduweili</creatorcontrib><creatorcontrib>Zhou, Kaixiang</creatorcontrib><creatorcontrib>Tuerxun, Maimaitiaili</creatorcontrib><creatorcontrib>Chong, Yutian</creatorcontrib><creatorcontrib>Zhu, Jianyun</creatorcontrib><title>Clinical Insights into Brucella Peritonitis: A Comprehensive Analysis of Four Cases</title><title>Journal of Epidemiology and Global Health</title><description>Abstract Introduction Brucellosis, a globally distributed zoonotic disease, exhibits diverse clinical manifestations, with Brucella peritonitis being a rare but consequential complication. Methods Analyzing the medical records of four patients with Brucella peritonitis admitted to the First People’s Hospital of Kashi Region from January 2022 to November 2023. A retrospective approach was used to analyze the general data, epidemiological history, clinical features, laboratory tests, and efficacy. All four patients with Brucella peritonitis were farmers. Results All of them were combined with decompensated stage of liver cirrhosis. The main manifestations were poor appetite, fatigue, bloating. Two patients were accompanied by moderate-high fever. All patients presented with mildly elevated C-reactive protein and procalcitonin &lt; 0.25ng/ml. Brucella was cultured from blood in 2 cases, from pleural fluid in 1 case, and from ascitic fluid in another case. All patients had moderate-to-large amounts of ascites with elevated leukocytes in the ascites, predominantly mononuclear cells. Symptoms of the above patients were reduced or disappeared after effective anti-infection. Conclusion When patients with decompensated cirrhosis present with exudative ascites dominated by elevated mononuclear cells, the possibility of Brucella peritonitis should also be considered in areas where brucellosis is endemic.</description><subject>Brucellosis</subject><subject>Liver cirrhosis</subject><subject>Peritonitis</subject><subject>Spontaneous bacterial peritonitis</subject><issn>2210-6006</issn><issn>2210-6014</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkN1KxDAQhYMorqy-gFd5geokTZvWG1mLPwuCgnpdJulkN9JtlqS7sG9vURE8NzPMOee7GMYuBVwJAH2dlBK1zkCqDEBWOiuO2JmUArIShDr-26GcsYuUPmFSVU2d6pTN8lpU5eSfsbem94O32PPlkPxqPSbuhzHwu7iz1PfIXyn6MQx-9OmGL3gTNttIa5rCe-KLAftD8okHxx_CLvIGE6VzduKwT3TxO-fs4-H-vXnKnl8el83iObN5AWPW1WhBaQfK6gq6QlJujDMGqQMyzkmd15oqiVbWBqgABwWBK7Ek13WC8jlb_nC7gJ_tNvoNxkMb0LffhxBXLcbR255aYYQAV-RIktQkdKhLDZhr24EBmFi3P6ztzmyoszSMEft_0P_O4NftKuxbIZSa3l_nX7_jeoY</recordid><startdate>20240826</startdate><enddate>20240826</enddate><creator>Pan, Shufang</creator><creator>Moming, Zulipiya</creator><creator>Awuti, Abuduweili</creator><creator>Zhou, Kaixiang</creator><creator>Tuerxun, Maimaitiaili</creator><creator>Chong, Yutian</creator><creator>Zhu, Jianyun</creator><general>Springer Netherlands</general><general>Springer</general><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20240826</creationdate><title>Clinical Insights into Brucella Peritonitis: A Comprehensive Analysis of Four Cases</title><author>Pan, Shufang ; Moming, Zulipiya ; Awuti, Abuduweili ; Zhou, Kaixiang ; Tuerxun, Maimaitiaili ; Chong, Yutian ; Zhu, Jianyun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c350t-d9ac047f04c780d52e3bbfbbaed0ebff27397e82ac29b0e50f05e0f6a6efdd1e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Brucellosis</topic><topic>Liver cirrhosis</topic><topic>Peritonitis</topic><topic>Spontaneous bacterial peritonitis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pan, Shufang</creatorcontrib><creatorcontrib>Moming, Zulipiya</creatorcontrib><creatorcontrib>Awuti, Abuduweili</creatorcontrib><creatorcontrib>Zhou, Kaixiang</creatorcontrib><creatorcontrib>Tuerxun, Maimaitiaili</creatorcontrib><creatorcontrib>Chong, Yutian</creatorcontrib><creatorcontrib>Zhu, Jianyun</creatorcontrib><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>Journal of Epidemiology and Global Health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pan, Shufang</au><au>Moming, Zulipiya</au><au>Awuti, Abuduweili</au><au>Zhou, Kaixiang</au><au>Tuerxun, Maimaitiaili</au><au>Chong, Yutian</au><au>Zhu, Jianyun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical Insights into Brucella Peritonitis: A Comprehensive Analysis of Four Cases</atitle><jtitle>Journal of Epidemiology and Global Health</jtitle><date>2024-08-26</date><risdate>2024</risdate><volume>14</volume><issue>3</issue><spage>1300</spage><epage>1304</epage><pages>1300-1304</pages><issn>2210-6006</issn><eissn>2210-6014</eissn><abstract>Abstract Introduction Brucellosis, a globally distributed zoonotic disease, exhibits diverse clinical manifestations, with Brucella peritonitis being a rare but consequential complication. Methods Analyzing the medical records of four patients with Brucella peritonitis admitted to the First People’s Hospital of Kashi Region from January 2022 to November 2023. A retrospective approach was used to analyze the general data, epidemiological history, clinical features, laboratory tests, and efficacy. All four patients with Brucella peritonitis were farmers. Results All of them were combined with decompensated stage of liver cirrhosis. The main manifestations were poor appetite, fatigue, bloating. Two patients were accompanied by moderate-high fever. All patients presented with mildly elevated C-reactive protein and procalcitonin &lt; 0.25ng/ml. Brucella was cultured from blood in 2 cases, from pleural fluid in 1 case, and from ascitic fluid in another case. All patients had moderate-to-large amounts of ascites with elevated leukocytes in the ascites, predominantly mononuclear cells. Symptoms of the above patients were reduced or disappeared after effective anti-infection. Conclusion When patients with decompensated cirrhosis present with exudative ascites dominated by elevated mononuclear cells, the possibility of Brucella peritonitis should also be considered in areas where brucellosis is endemic.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>39186210</pmid><doi>10.1007/s44197-024-00287-5</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Brucellosis
Liver cirrhosis
Peritonitis
Spontaneous bacterial peritonitis
title Clinical Insights into Brucella Peritonitis: A Comprehensive Analysis of Four Cases
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