Fesih AKTAR, Murat BAŞARANOĞLU, Hayrettin TEMEL, Mehmet Selçuk BEKTAŞ, Mesut OKUR

Akut Brusellozlu Bir Olguda Pansitopeni

Bruselloz, Türkiye’de halen morbiditesi yüksek olan bir zoonotik enfeksiyon hastalığıdır. Brusellozlu olgularda anemi ve trombositopeni yaygın olarak görülebilirken pansitopeni nadir bir komplikasyondur. Sekiz yaşında erkek hasta ateş, halsizlik, üşüme, titreme ve kilo kaybı yakınmalarıyla çocuk polikliniğimize başvurdu. Fizik muayene ve laboratuvar incelemelerinde hepatosplenomegali, ateş, pansitopeni ve Brusella tüp aglütinasyon testi 1/640 titrede pozitif bulundu. Hasta rifampisin ve doksisiklin kombine tedavisi ile ikinci haftanın sonunda klinik olarak rahatladı ve tedavinin altıncı haftasının sonunda pansitopeni tamamen düzeldi. Bu olgu bruselloza bağlı pansitopeninin nadir bir komplikasyon olması nedeniyle sunuldu.

Anahtar Kelimeler:

Bruselloz, Pansitopeni

Pancytopenia in a Child with Acute Brucellosis

Brucellosis is a zoonotic infectious disease that still has high morbidity in Turkey. In cases with brucellosis, pancytopenia is a rare complication, while anemia and thrombocytopenia can be commonly seen. An eight-year-old male patient presented at our pediatric outpatient clinic with fever, fatigue, chill, shivering and loss of weight. On physical examination and laboratory investigations, hepatosplenomegaly, fever, pancytopenia and 1/160 titer positive Brucella tube agglutination test were found. The patient clinically improved at the end of the second week and pancytopenia completely resolved at the end of the sixth week of combined treatment with rifampicin and doxycycline. We presented a patient who developed pancytopenia due to brucellosis in this case report due to the rarity of this complication

Keywords:

Brucellosis, Pancytopenia,

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