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...

Full description

Saved in:
Bibliographic Details
Main Authors: Suleyman Baldane, Serdar Sivgin, Tahsin Sezgin Alkan, Fatih Kurnaz, Cigdem Pala, Muzaffer Keklik, Ahmet Karaman, Leylagul Kaynar
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2012/473784
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832549811647152128
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
work_keys_str_mv AT suleymanbaldane anatypicalpresentationofbrucellosisinapatientwithisolatedthrombocytopeniacomplicatedwithuppergastrointestinaltractbleeding
AT serdarsivgin anatypicalpresentationofbrucellosisinapatientwithisolatedthrombocytopeniacomplicatedwithuppergastrointestinaltractbleeding
AT tahsinsezginalkan anatypicalpresentationofbrucellosisinapatientwithisolatedthrombocytopeniacomplicatedwithuppergastrointestinaltractbleeding
AT fatihkurnaz anatypicalpresentationofbrucellosisinapatientwithisolatedthrombocytopeniacomplicatedwithuppergastrointestinaltractbleeding
AT cigdempala anatypicalpresentationofbrucellosisinapatientwithisolatedthrombocytopeniacomplicatedwithuppergastrointestinaltractbleeding
AT muzafferkeklik anatypicalpresentationofbrucellosisinapatientwithisolatedthrombocytopeniacomplicatedwithuppergastrointestinaltractbleeding
AT ahmetkaraman anatypicalpresentationofbrucellosisinapatientwithisolatedthrombocytopeniacomplicatedwithuppergastrointestinaltractbleeding
AT leylagulkaynar anatypicalpresentationofbrucellosisinapatientwithisolatedthrombocytopeniacomplicatedwithuppergastrointestinaltractbleeding
AT suleymanbaldane atypicalpresentationofbrucellosisinapatientwithisolatedthrombocytopeniacomplicatedwithuppergastrointestinaltractbleeding
AT serdarsivgin atypicalpresentationofbrucellosisinapatientwithisolatedthrombocytopeniacomplicatedwithuppergastrointestinaltractbleeding
AT tahsinsezginalkan atypicalpresentationofbrucellosisinapatientwithisolatedthrombocytopeniacomplicatedwithuppergastrointestinaltractbleeding
AT fatihkurnaz atypicalpresentationofbrucellosisinapatientwithisolatedthrombocytopeniacomplicatedwithuppergastrointestinaltractbleeding
AT cigdempala atypicalpresentationofbrucellosisinapatientwithisolatedthrombocytopeniacomplicatedwithuppergastrointestinaltractbleeding
AT muzafferkeklik atypicalpresentationofbrucellosisinapatientwithisolatedthrombocytopeniacomplicatedwithuppergastrointestinaltractbleeding
AT ahmetkaraman atypicalpresentationofbrucellosisinapatientwithisolatedthrombocytopeniacomplicatedwithuppergastrointestinaltractbleeding
AT leylagulkaynar atypicalpresentationofbrucellosisinapatientwithisolatedthrombocytopeniacomplicatedwithuppergastrointestinaltractbleeding