KEVSER TÖRE ONBAŞI, İDRİS ŞAHİN, OKAN ONBAŞI
Medeniyet Medical Journal - 2000;15(1):54-56
Brucellosis is a zoonosis with good prognosis in cases of early diagnosis. To make the diagnosis is still a problem today. Brucellosis is frequently transmitted from Brucella-infected animals and their products to humans through the gastrointestinal tract. A history of raw milk ingestion is an important factor in disease transmission, followed by close animal contact and raw liver consumption. Human brucellosis is a multisystem disease that may present with a broad spectrum of clinical manifestations. The most common presenting symptoms are fever, sweating, headache, joint pains, and backache. Physical findings include fever, hepatomegaly, splenomegaly, tenderness over the spine, arthritis, and lymphadenopathy. Mild anemia, leukopenia, and relative lymphocytosis and sometimes bicytopenia or pancytopenia may be seen. We describe a 38-year-old man with an fever, chills and sweating. He presented with leukopenia and mild trombocytopenia. Brucella agglutination (1/1280) and microbiologic culture of the bone marrow was positive. In cases of bicytopenia and fever brucellosis should be included in the differential diagnosis.
