Brucella Presenting With Pancytopenia Pansitopeni ile Kendini Gösteren Brucella: Olgu Sunumu

Abstract

Introduction: Brucellosis is an infectious disease that can be acquired through direct contact with infected animals, ingestion of raw milk and dairy products from infected animals and / or through the inhalation of infectious droplets. They can involve other systems, especially reticuloendothelial system, resulting in different clinical pictures. The most common complaints are fever, arthralgia and sweating. While anemia and thrombocytopenia are common in patients with brucellosis, pancytopenia is a rare complication. Case Report: A 13-year-old girl referred to our hospital from another hospital because of fever, abdominal pain and pancytopenia in blood tests. Case history included goat, dog, cow contact and consumption of cheese from raw milk. Brucella Immuncapture (tube + commbs) was detected as 1/5120 titer. Brucellosis treatment was planned to be completed in 6 weeks. Discussion and Conclusion: When investigating the etiology of pancytopenia in areas where brucellosis is endemic, like our country, it should be kept in mind that acute brucellosis may cause pancytopenia together with other reasons.

Keywords

• Brucellosis

References

1. Kaynaklar: 1. Young EJ. Brucellosis. In: Feigin RD, Cherry JD (eds). Textbook of Pediatric Infectious Diseases. Fifth edition. Philedelphia: 6th ed. WB Saunders Company 2009;1678-82.
2. 2. American Academy of Pediatrics. Brucellosis. In:Pickering LK, editörs. 2009 Red Book: Report of the Committee on Infectious Diseases. 28th ed. Elk Grove Village, IL: American Academy of Pediatrics 2009;237-9.
3. 3. Schutze GE, Jacobs RF. Brucella. In: Behrman RE, Kliegman RM, Jenson HB, editors: Nelson Textbook of Pediatrics 18th ed. Philadelphia: W.B. Saunders Company 2007;1214-6.
4. 4. Issa H, Jamal M. Brucellosis in Children in South Jordan. East Med Health J 1999;5: 895-902.
5. 5. Yılmaz K, Bayraktaroğlu Z, Sivaslı E, ve ark. Bruselloz tanılı çocuk hastalarda klinik ve laboratuvar verilerinin değerlendirilmesi. Çocuk Dergisi 2004;4: 102-6.
6. 6. Vardar F, Gökşen D, Kurugül Z, Özkınay F. Bruselloz Tanı ve Sağaltımı. Ege Pediatri Bülteni 2000;7: 29-32.
7. 7. Young EJ. Brucella species. In: Mandell GL, Bennet JE, Dolin R, eds. Principles and Practice of Infectious Disease. 5th ed. Philadelphia: Churchill-Livingstone 2000;2389-93.
8. 8. American Academy of Pediatrics. Summaries of Infectious Diseases. In: Peter G, Red Book:1997 Report of the Committee on Infectious Diseases. 24th ed. Elk Grove Village, IL: American Academy of Pediatrics 1997;157-9.

9. 9. Kadanalı A ,Soypaçacı Z, Parlak M. Bruselloza Bağlı Bir Pansitopeni Olgusu. İnfeksiyon Dergisi (Turkish Journal of Infection) 2003;17:93-4.
10. 10. Al-Eissa YA, Assuhaimi SA, Al-Fawaz IM, Higgy KE, Al-Nasser MN, Al-Mobaireek KF. Pancytopenia inchildren with brucellosis: Clinical manifestations and bone marrow findings. Acta Haematol 1993;89:132-6.