Acute Brucellosis Presenting as an Autoimmune Hemolytic Anemia
Brucellosis is one of the most widespread zoonosis in the world. Hematological complications in brucellosis usually present as mild anemia, leukopenia, or pancytopenia. Autoimmune hemolytic anemia in brucellosis is rarely reported. Here, we report an 18-year-old female presented to us with progressi...
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Language: | English |
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Wiley
2018-01-01
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Series: | Case Reports in Infectious Diseases |
Online Access: | http://dx.doi.org/10.1155/2018/1030382 |
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author | Durga Shankar Meena Vikram Singh Sonwal Amit Kumar Rohila Vasudha Meena |
author_facet | Durga Shankar Meena Vikram Singh Sonwal Amit Kumar Rohila Vasudha Meena |
author_sort | Durga Shankar Meena |
collection | DOAJ |
description | Brucellosis is one of the most widespread zoonosis in the world. Hematological complications in brucellosis usually present as mild anemia, leukopenia, or pancytopenia. Autoimmune hemolytic anemia in brucellosis is rarely reported. Here, we report an 18-year-old female presented to us with progressive fatigue, jaundice, and fever. Hematological investigations revealed hemolytic anemia. Direct Coombs test was positive. Further evaluation showed positive serology and culture for Brucella. The patient was diagnosed with brucellosis with autoimmune hemolytic anemia. She was put on rifampicin and doxycycline along with corticosteroids. After 6 weeks, the patient was symptomatically improved with complete remission of hemolytic anemia. The possibility of brucellosis should be considered as a differential diagnosis of autoimmune hemolytic anemia, especially those living in the endemic areas. |
format | Article |
id | doaj-art-4137869619e84b94beb4c8388ad4d358 |
institution | Kabale University |
issn | 2090-6625 2090-6633 |
language | English |
publishDate | 2018-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Infectious Diseases |
spelling | doaj-art-4137869619e84b94beb4c8388ad4d3582025-02-03T05:51:40ZengWileyCase Reports in Infectious Diseases2090-66252090-66332018-01-01201810.1155/2018/10303821030382Acute Brucellosis Presenting as an Autoimmune Hemolytic AnemiaDurga Shankar Meena0Vikram Singh Sonwal1Amit Kumar Rohila2Vasudha Meena3Department of General Medicine, All India Institute of Medical Sciences, Jodhpur, IndiaDepartment of General Medicine, All India Institute of Medical Sciences, Jodhpur, IndiaDepartment of General Medicine, All India Institute of Medical Sciences, Jodhpur, IndiaDepartment of Pediatrics, SN Medical College, Jodhpur, IndiaBrucellosis is one of the most widespread zoonosis in the world. Hematological complications in brucellosis usually present as mild anemia, leukopenia, or pancytopenia. Autoimmune hemolytic anemia in brucellosis is rarely reported. Here, we report an 18-year-old female presented to us with progressive fatigue, jaundice, and fever. Hematological investigations revealed hemolytic anemia. Direct Coombs test was positive. Further evaluation showed positive serology and culture for Brucella. The patient was diagnosed with brucellosis with autoimmune hemolytic anemia. She was put on rifampicin and doxycycline along with corticosteroids. After 6 weeks, the patient was symptomatically improved with complete remission of hemolytic anemia. The possibility of brucellosis should be considered as a differential diagnosis of autoimmune hemolytic anemia, especially those living in the endemic areas.http://dx.doi.org/10.1155/2018/1030382 |
spellingShingle | Durga Shankar Meena Vikram Singh Sonwal Amit Kumar Rohila Vasudha Meena Acute Brucellosis Presenting as an Autoimmune Hemolytic Anemia Case Reports in Infectious Diseases |
title | Acute Brucellosis Presenting as an Autoimmune Hemolytic Anemia |
title_full | Acute Brucellosis Presenting as an Autoimmune Hemolytic Anemia |
title_fullStr | Acute Brucellosis Presenting as an Autoimmune Hemolytic Anemia |
title_full_unstemmed | Acute Brucellosis Presenting as an Autoimmune Hemolytic Anemia |
title_short | Acute Brucellosis Presenting as an Autoimmune Hemolytic Anemia |
title_sort | acute brucellosis presenting as an autoimmune hemolytic anemia |
url | http://dx.doi.org/10.1155/2018/1030382 |
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