| Yazarlar |
Kadir Ceylan
|
Mustafa Kasım KARAHOCAGİL
Kırşehir Ahi Evran Üniversitesi |
|
Yasemin Soyoral
|
|
Hayriye Sayarlioglu
|
|
Hasan Karsen
|
|
Ekrem Dogan
|
|
Hayrettin Akdeniz
|
|
Irfan Bayram
|
|
Mustafa Koesem
|
|
Reha Erkoc
|
| Özet |
| OBJECTIVES To examine our patients with brucellosis and renal involvement. Although brucellae have been recovered from the urine of patients with brucellosis, renal involvement is uncommon. METHODS The data from 15 patients (8 males and 7 females, mean age 43 +/- 18.9 years, range 16 to 80), who had been admitted to our hospital with the diagnosis of brucellosis with renal involvement from 1998 to 2006, were retrospectively evaluated. RESULTS In almost all cases, urinalysis revealed hematuria and variable amounts of proteinuria; some of the patients had pyuria. Of the 15 patients, 14 had renal failure. The etiology of renal failure was prerenal azotemia in 1, acute tubular necrosis because of nonsteroidal anti-inflammatory drug use in 1, anuric tubulointerstitial nephritis due to rifampin use in 1, nephritis accompanied by brucellar endocarditis in 3, brucellar endocarditis and tubulointerstitial nephritis-associated vasculitis in 1, brucellar membranoproliferative glomerulonephritis in 1, and brucellar tubulointerstitial nephritis clinically in 6 patients. Hemodialysis was required in 5 patients. Chronic renal failure developed in 1 patient, 2 patients were lost to follow-up, and renal function completely recovered in 11 patients. Two patients underwent renal biopsy and membranoproliferative glomerulonephritis with intraglomerular infiltration of histiocytes was identified in 1 patient and chronic tubulointerstitial nephritis associated with vasculitis and immune complex nephritis features was identified in the other. CONCLUSIONS In areas endemic for brucellosis, this infection can be associated with hematuria, proteinuria, and renal failure. In addition, many diverse etiologies can play a role in the renal involvement associated with Brucella infection. UROLOGY 73: 1179-1183, 2009. (C) 2009 Elsevier Inc. |
| Anahtar Kelimeler |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
| Dergi Adı | UROLOGY |
| Dergi ISSN | 0090-4295 |
| Dergi Tarandığı Indeksler | SSCI |
| Makale Dili | İngilizce |
| Basım Tarihi | 06-2009 |
| Cilt No | 73 |
| Sayı | 6 |
| Sayfalar | 1179 / 1183 |
| Doi Numarası | 10.1016/j.urology.2008.01.063 |
| Makale Linki | http://linkinghub.elsevier.com/retrieve/pii/S0090429508001817 |
| Atıf Sayıları | |
| WoS | 14 |
| SCOPUS | 22 |
| Google Scholar | 43 |
