Acute Brucellosis Presenting with Bleeding Tendency due to Isolated Severe Thrombocytopenia

Mild anemia and leukopenia are the most common hematologic findings in the course of acute brucellosis. Severe form of thrombocytopenia is less frequently reported. We describe a case of acute brucellosis in a 20-year-old man, who presented with fever, purpuric skin lesions, epistaxis, and hematuria...

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Main Authors: M. Aon, T. Al-Enezi
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2018/7867435
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author M. Aon
T. Al-Enezi
author_facet M. Aon
T. Al-Enezi
author_sort M. Aon
collection DOAJ
description Mild anemia and leukopenia are the most common hematologic findings in the course of acute brucellosis. Severe form of thrombocytopenia is less frequently reported. We describe a case of acute brucellosis in a 20-year-old man, who presented with fever, purpuric skin lesions, epistaxis, and hematuria. The absolute platelet count was 2 × 109/L. The patient was diagnosed as suffering from brucellosis on the basis of a strongly positive serologic reaction and was treated with antibiotics and a short course of corticosteroids, with a rapid rise in platelet count. Brucella infection can cause immune-mediated thrombocytopenia that is reversible after appropriate antimicrobial therapy and steroid treatment.
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institution Kabale University
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spelling doaj-art-cb303030c0a045af80806b761dbc1d842025-02-03T01:12:08ZengWileyCase Reports in Infectious Diseases2090-66252090-66332018-01-01201810.1155/2018/78674357867435Acute Brucellosis Presenting with Bleeding Tendency due to Isolated Severe ThrombocytopeniaM. Aon0T. Al-Enezi1Department of Medicine, Faculty of Medicine, Cairo University, Giza, EgyptDepartment of Medicine, Jahra Hospital, Al-Jahra, KuwaitMild anemia and leukopenia are the most common hematologic findings in the course of acute brucellosis. Severe form of thrombocytopenia is less frequently reported. We describe a case of acute brucellosis in a 20-year-old man, who presented with fever, purpuric skin lesions, epistaxis, and hematuria. The absolute platelet count was 2 × 109/L. The patient was diagnosed as suffering from brucellosis on the basis of a strongly positive serologic reaction and was treated with antibiotics and a short course of corticosteroids, with a rapid rise in platelet count. Brucella infection can cause immune-mediated thrombocytopenia that is reversible after appropriate antimicrobial therapy and steroid treatment.http://dx.doi.org/10.1155/2018/7867435
spellingShingle M. Aon
T. Al-Enezi
Acute Brucellosis Presenting with Bleeding Tendency due to Isolated Severe Thrombocytopenia
Case Reports in Infectious Diseases
title Acute Brucellosis Presenting with Bleeding Tendency due to Isolated Severe Thrombocytopenia
title_full Acute Brucellosis Presenting with Bleeding Tendency due to Isolated Severe Thrombocytopenia
title_fullStr Acute Brucellosis Presenting with Bleeding Tendency due to Isolated Severe Thrombocytopenia
title_full_unstemmed Acute Brucellosis Presenting with Bleeding Tendency due to Isolated Severe Thrombocytopenia
title_short Acute Brucellosis Presenting with Bleeding Tendency due to Isolated Severe Thrombocytopenia
title_sort acute brucellosis presenting with bleeding tendency due to isolated severe thrombocytopenia
url http://dx.doi.org/10.1155/2018/7867435
work_keys_str_mv AT maon acutebrucellosispresentingwithbleedingtendencyduetoisolatedseverethrombocytopenia
AT talenezi acutebrucellosispresentingwithbleedingtendencyduetoisolatedseverethrombocytopenia