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  • Brucellosis accompanied by haemophagocytic lymphohistiocytosis and multiple splenic abscesses in a patient with depression

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Reminder of important clinical lesson
CASE REPORT
Brucellosis accompanied by haemophagocytic lymphohistiocytosis and multiple splenic abscesses in a patient with depression
  1. Fatehi E Elzein1,
  2. Nisreen Al Sherbini2,
  3. Mohammed M Alotaibi2,
  4. Wassiem M Al-Hassan1
  1. 1Department of Medicine, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
  2. 2Department of Medicine-ID, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
  1. Correspondence to Dr Fatehi E Elzein, fatehielzein{at}gmail.com

Summary

A 39-year-old woman was being treated for depression in our clinic. She subsequently developed a fever and was diagnosed with pancytopenia and moderate splenomegaly. Laboratory and bone marrow results, including markedly increased serum ferritin levels, suggested haemophagocytic lymphohistiocytosis. CT showed multiple splenic abscesses and ovarian vein thrombosis. All laboratory values returned to normal after treatment for culture-positive brucellosis.

  • infections
  • mood disorders (including depression)
  • haematology (incl blood transfusion)

https://doi.org/10.1136/bcr-2017-224018

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    Footnotes

    • Contributors FEE had substantial contributions to the conception or design of the work and drafting the manuscript. MMA prepared the figures and revised the manuscript. WMA-H did the follow-up of the patient in the hospital. All the authors contributed to the critical review of the manuscript, final approval of the version published and agreed to be accountable for all aspects of the work

    • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.