Acute brucellosis with myelodysplastic syndrome presenting as pancytopenia and Fever of unknown origin

Jun-Jie Li; Zi-Ke Sheng; Sheng Tu; Sheng Bi; Xiao-Min Shen; Ji-Fang Sheng

doi:10.1159/000333698

Acute brucellosis with myelodysplastic syndrome presenting as pancytopenia and Fever of unknown origin

Med Princ Pract. 2012;21(2):183-5. doi: 10.1159/000333698. Epub 2011 Dec 1.

Authors

Jun-Jie Li¹, Zi-Ke Sheng, Sheng Tu, Sheng Bi, Xiao-Min Shen, Ji-Fang Sheng

Affiliation

¹ Department of Infectious Diseases, State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, First Affiliated Hospital of Medical College, Zhejiang University, Hangzhou, China.

PMID: 22133749
DOI: 10.1159/000333698

Abstract

Objective: To report a rare case of brucellosis with myelo-dysplastic syndrome (MDS).

Clinical presentation and intervention: A 70-year-old woman presented with pancytopenia and fever of unknown origin (FUO). The initial diagnosis was brucellosis; the woman was treated with doxycycline and rifampin against Brucella melitensis but was later diagnosed as suffering from MDS. She was immediately transferred to the Department of Hematology for further evaluation.

Conclusion: This study highlights the rarity of brucellosis with MDS, and we recommend that brucellosis with MDS be considered in patients presenting with pancytopenia and FUO.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Acute Disease
Aged
Brucellosis / complications
Brucellosis / diagnosis*
Female
Fever of Unknown Origin / etiology*
Humans
Myelodysplastic Syndromes / complications
Myelodysplastic Syndromes / diagnosis*
Pancytopenia / complications*