Brucella Non-Neutrocytic Bacterascites in a Patient with Chronic Liver Disease
  • Bruno Marmelo
    Centro Hospitalar Tondela-Viseu - E.P.E. - Portugal
  • Telma Pereiro
    Centro Hospitalar Tondela-Viseu - E.P.E. - Portugal
  • Paula Sousa
    Centro Hospitalar Tondela-Viseu - E.P.E. - Portugal
  • Joana Capelo
    Centro Hospitalar Tondela-Viseu - E.P.E. - Portugal
  • Adelino Carragoso
    Centro Hospitalar Tondela-Viseu - E.P.E. - Portugal


Brucellosis, Brucella, Brucella mellitensis, peritonitis, spontaneous bacterial peritonitis, monomicrobial nonneutrocytic bacterascites.


Objectives: To report a case of Brucella peritonitis.

Patient and methods: We describe the case of a patient and present a brief review of the few published reports.

Results: The patient had alcoholic cirrhosis of the liver and was diagnosed with Brucella non-neutrocytic bacterascites.

Conclusion: Brucellosis is a common zoonosis with worldwide distribution. It is a systemic disease with the potential to predominantly affect one organ or a specific system (focal brucellosis). However, peritoneal focalization of this disease is a very rare presentation.



  • Pappas G, Akritidis N, Bosilkovsky M, Tsianos E. Brucellosis. N Engl J Med 2005;352:2325–2336.
  • Corbell MJ. Brucellosis in humans and animals. Geneva: WHO, FAO, OIE;2006.
  • Pessegueiro P, Barata C, Correia J. Brucelose – uma revisão sistematizada. Medicina Interna 2003;10:91–100.
  • Hatipoglu CA, Yetkin A, Ertem GT, Tulek N. Unusual clinical presentations of brucellosis. Scand J Infect Dis 2004;36:694–697.
  • Alaniz C, Regal RE. Spontaneous bacterial peritonitis: a review of treatment options. P&T 2009;34:204–210.
  • Runyon BA. Monomicrobial nonneutrocytic bacterascites: a variant of spontaneous bacterial peritonitis. Hepatology 1990;12:710–715.
  • Caruntu FA, Benea L. Spontaneous bacterial peritonitis: pathogenesis, diagnosis, treatment. J Gastrointest Liver Dis 2006;15:51–56.
  • Ferreira AO, Martins LN, Marinho RT, Velosa J. Spontaneous bacterial peritonitis by Brucella in a cirrhotic patient. BMJ Case Rep 2013; pii: bcr2013008629. doi: 10.1136/bcr-2013-008629.
  • Roushan MRH, Mohraz M, Hajiahmadi M, Ramzani A, Valayati AA. Efficacy of gentamicin plus doxycycline versus streptomycin plus doxycycline in the treatment of brucellosis in humans. Clin Infect Dis 2006;42:1075–1080.
  • Views: 1012
    HTML downloads: 297
    PDF downloads: 392

    Published: 2015-07-24
    Issue: Vol. 2 No. 4 (2015) (view)

    How to cite:
    Marmelo B, Pereiro T, Sousa P, Capelo J, Carragoso A. Brucella Non-Neutrocytic Bacterascites in a Patient with Chronic Liver Disease. EJCRIM 2015;2 doi:10.12890/000_252.

    Most read articles by the same author(s)