The first documented case of brucellosis manifested with pancytopenia and capillary leak syndrome

Intern Med. 2008;47(9):863-5. doi: 10.2169/internalmedicine.47.0834. Epub 2008 May 1.

Abstract

Hematological complications have been frequently associated with acute brucellosis, but pancytopenia is less frequently seen. Also, capillary leak syndrome has been rarely reported in the literature. In this report, we present a case of brucellosis with pancytopenia leading to capillary leak syndrome. A 21-year-old man was admitted to hospital with complaints of a one-month history of weakness, sweats, and fever and he had hepatosplenomegaly and edema over the pretibial areas. Hemogram revealed pancytopenia and biochemical tests revealed moderate hypoalbuminemia, elevations of lactate dehydrogenase and aspartate aminotransferase. He was diagnosed as brucellosis and capillary leak syndrome. He was given doxycycline and rifampicin. The patient's symptoms were resolved after treatment.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Brucellosis / complications*
  • Brucellosis / drug therapy
  • Capillary Leak Syndrome / drug therapy
  • Capillary Leak Syndrome / etiology*
  • Doxycycline / therapeutic use
  • Humans
  • Male
  • Pancytopenia / drug therapy
  • Pancytopenia / etiology*
  • Rifampin / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Doxycycline
  • Rifampin