An Atypical Presentation of Brucellosis in a Patient with Isolated Thrombocytopenia Complicated with Upper Gastrointestinal Tract Bleeding
A 59-year-old female patient was admitted to the emergency service with complaints of hematemesis and melena for the last few days. In laboratory tests, the platelet count was found to be /L. Intravenous or oral corticosteroid treatment was thought to be given for ITP but disclaimed due to upper G...
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Wiley
2012-01-01
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Series: | Case Reports in Medicine |
Online Access: | http://dx.doi.org/10.1155/2012/473784 |
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author | Suleyman Baldane Serdar Sivgin Tahsin Sezgin Alkan Fatih Kurnaz Cigdem Pala Muzaffer Keklik Ahmet Karaman Leylagul Kaynar |
author_facet | Suleyman Baldane Serdar Sivgin Tahsin Sezgin Alkan Fatih Kurnaz Cigdem Pala Muzaffer Keklik Ahmet Karaman Leylagul Kaynar |
author_sort | Suleyman Baldane |
collection | DOAJ |
description | A 59-year-old female patient was admitted to the emergency service with complaints of hematemesis and melena for the last few days. In laboratory tests, the platelet count was found to be /L. Intravenous or oral corticosteroid treatment was thought to be given for ITP but disclaimed due to upper GIS bleeding. On the 5th day of treatment, Brucella melitensis was isolated from blood culture before the results of Wright tube agglutination tests were reported positive as 1 : 80. On the second day of the anti-brucellosis treatment, the thrombocyte count was raised from 6000/mm3 to 110000/mm3, and on the 3rd day to 225000/mm3. |
format | Article |
id | doaj-art-9efc09326ae84996a21a36fe1a937fa7 |
institution | Kabale University |
issn | 1687-9627 1687-9635 |
language | English |
publishDate | 2012-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Medicine |
spelling | doaj-art-9efc09326ae84996a21a36fe1a937fa72025-02-03T06:08:31ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/473784473784An Atypical Presentation of Brucellosis in a Patient with Isolated Thrombocytopenia Complicated with Upper Gastrointestinal Tract BleedingSuleyman Baldane0Serdar Sivgin1Tahsin Sezgin Alkan2Fatih Kurnaz3Cigdem Pala4Muzaffer Keklik5Ahmet Karaman6Leylagul Kaynar7Department of Internal Medicine, Faculty of Medicine, Erciyes University, 38039 Kayseri, TurkeyDepartment of Hematology, Faculty of Medicine, Erciyes University, 38039 Kayseri, TurkeyDepartment of Internal Medicine, Faculty of Medicine, Erciyes University, 38039 Kayseri, TurkeyDepartment of Hematology, Faculty of Medicine, Erciyes University, 38039 Kayseri, TurkeyDepartment of Hematology, Faculty of Medicine, Erciyes University, 38039 Kayseri, TurkeyDepartment of Hematology, Faculty of Medicine, Erciyes University, 38039 Kayseri, TurkeyDepartment of Gastroenterology, Faculty of Medicine, Erciyes University, 38039 Kayseri, TurkeyDepartment of Hematology, Faculty of Medicine, Erciyes University, 38039 Kayseri, TurkeyA 59-year-old female patient was admitted to the emergency service with complaints of hematemesis and melena for the last few days. In laboratory tests, the platelet count was found to be /L. Intravenous or oral corticosteroid treatment was thought to be given for ITP but disclaimed due to upper GIS bleeding. On the 5th day of treatment, Brucella melitensis was isolated from blood culture before the results of Wright tube agglutination tests were reported positive as 1 : 80. On the second day of the anti-brucellosis treatment, the thrombocyte count was raised from 6000/mm3 to 110000/mm3, and on the 3rd day to 225000/mm3.http://dx.doi.org/10.1155/2012/473784 |
spellingShingle | Suleyman Baldane Serdar Sivgin Tahsin Sezgin Alkan Fatih Kurnaz Cigdem Pala Muzaffer Keklik Ahmet Karaman Leylagul Kaynar An Atypical Presentation of Brucellosis in a Patient with Isolated Thrombocytopenia Complicated with Upper Gastrointestinal Tract Bleeding Case Reports in Medicine |
title | An Atypical Presentation of Brucellosis in a Patient with Isolated Thrombocytopenia Complicated with Upper Gastrointestinal Tract Bleeding |
title_full | An Atypical Presentation of Brucellosis in a Patient with Isolated Thrombocytopenia Complicated with Upper Gastrointestinal Tract Bleeding |
title_fullStr | An Atypical Presentation of Brucellosis in a Patient with Isolated Thrombocytopenia Complicated with Upper Gastrointestinal Tract Bleeding |
title_full_unstemmed | An Atypical Presentation of Brucellosis in a Patient with Isolated Thrombocytopenia Complicated with Upper Gastrointestinal Tract Bleeding |
title_short | An Atypical Presentation of Brucellosis in a Patient with Isolated Thrombocytopenia Complicated with Upper Gastrointestinal Tract Bleeding |
title_sort | atypical presentation of brucellosis in a patient with isolated thrombocytopenia complicated with upper gastrointestinal tract bleeding |
url | http://dx.doi.org/10.1155/2012/473784 |
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