An uncommon case of acute brucellosis presenting with severe thrombocytopenia.
Intern Med
; 51(23): 3291-3, 2012.
Article
em En
| MEDLINE
| ID: mdl-23207127
ABSTRACT
A 49-year-old man was admitted to the hospital with complaints of fatigue, epistaxis and a skin rash. The whole blood count revealed isolated thrombocytopenia (4,000/mL), and the patient was admitted to the hematology department with a diagnosis of immune thrombocytopenia. He did not respond to steroid treatment for 15 days, and a subfebrile fever developed during this period. A diagnosis of acute brucellosis was considered due to positive serological tests and a blood culture positive for Brucella spp. After starting doxycycline and rifampicin therapy, the patient's thrombocyte count increased to 15,000/mL on the third day, to 41,000/mL on the sixth day and was normal on the 21st day of treatment. A diagnosis of brucellosis must be considered in patients presenting with severe and isolated thrombocytopenia in countries where brucellosis is endemic.
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Base de dados:
MEDLINE
Assunto principal:
Trombocitopenia
/
Brucelose
Tipo de estudo:
Diagnostic_studies
Limite:
Animals
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article