Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

3

Gaziantep Med J. 2011; 17(3): 153-154


Mesenteric lymphadenitis, pancytopenia, and acute brucellosis

Muhammed Sait Dağ, İbrahim Türkbeyler, Azize Gökhan, Musa Aydınlı, Mehmet Cemil Savaş, Abdurrahman Kadayıfçı.

Abstract
Brucellosis is a zoonotic infection caused by gram (-) Brucella species and involves multipl organ systems. It usually presents with fever and constitutional symptoms but atypical presentations may also occur. Acute brucellosis presenting with pancytopenia and abdominal pain due to mesenteric lymphadenitis have been published as case reports. A 71-year-old woman admitted to our clinic with severe abdominal pain mimicking acute abdomen, fever, constipation and weight loss for last three weeks. In complete blood count, there was serious pancytopenia. Although Wright agglutination test was negative, Brucella species were isolated in blood culture. Combined treatment of rifampicin 600 mg/day and doxycycline 200 mg/day was started. There were mesenteric enlarged lymph nodes detected in the computerized tomography and the abdominal pain is thought to be related with this mesenteric lymphadenitis. The clinical and laboratory findings were dramatically improved with the treatment and it was continued for six weeks. In conclusion, although the presentation of acute brucellosis with mesenteric lymphadenitis and pancytopenia is rare, it must be considered in patients such in endemic areas.

Key words: Acute brucellosis; mesenteric lymphadenitis; pancytopenia



Share this Article


Advertisement
Journal of Apitherapy

SUBMIT YOUR ARTICLE NOW


ScopeMed.com
ScopeMed Home
Follow ScopeMed on Twitter
BiblioCAM
Author Tools
eJPort Journal Hosting
About ScopeMed
License Information
Terms & Conditions
Privacy Policy
Suggest a Journal
Publisher Login
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright © ScopeMed® Information Services.
Scopemed Buttons