Home > Journals > Gazzetta Medica Italiana Archivio per le Scienze Mediche > Past Issues > Gazzetta Medica Italiana Archivio per le Scienze Mediche 2012 February;171(1) > Gazzetta Medica Italiana Archivio per le Scienze Mediche 2012 February;171(1):81-4

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

A Journal on Internal Medicine and Pharmacology


Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index

 

CASE REPORTS  


Gazzetta Medica Italiana Archivio per le Scienze Mediche 2012 February;171(1):81-4

language: English

A child case of acute brucellosis presenting with coombs-positive autoimmune hemolytic anemia. Case report

Akin M., Kücüktasci K., Karaca A., Güctürk I., Kaya B., Halis H.

Department of Pediatric Hematology, Faculty of Medicine, Pamukkale University Denizli, Turkey


PDF  


Human brucellosis is a multisystem disease with a wide spectrum of clinical manifestations. Brucellosis can mimic several primary hematological diseases. Several non-specific hematologic abnormalities have been reported with brucellosis including anemia, leukopenia, thrombocytopenia and pancytopenia. We discussed about steroid therapy and described a child case of acute brucellosis presenting with Coombs-positive AIHA. A 3.5-year-old girl was admitted to our hospital by pallor, palpitation, fever , scleral icterus. Laboratory test showed hemoglobin 7.4 g/dL, direct Coombs IgG plus C3d test strongly positive (3+). Serology for Brucella was strongly positive (Wright agglutination reaction [1/2560], coombs agglutination reaction [1/5120]). The differential diagnosis child of Coombs-positive AIHA should include brucellosis, especially in patients living in endemic areas.Early diagnosis and treatment of disease at AIHA depentdent brucellos is important because of they could be determined to severe acute hemolysis.

top of page

Publication History

Cite this article as

Corresponding author e-mail