Marom R, Miron D, Gabriel H, Horowitz Y
Pediatric Dept. A, HaEmek Medical Center, Afula.
Harefuah. 2000 Oct;139(7-8):278-9, 326.
Thrombocytopenic purpura associated with brucellosis has rarely been described in children. The thrombocytopenic purpura is usually part of the array of manifestations of brucellosis, such as fever, malaise, arthralgia, arthritis, hepatosplenomegaly and lymphadenopathy. We describe a 4-year-old girl in whom severe thrombocytopenic purpura was the only manifestation of brucellosis and resolved after appropriate antibiotic therapy. We conclude that brucellosis should be included in the differential diagnosis of thrombocytopenic purpura in areas endemic for brucellosis, and when there is a history of exposure to infected food products.
与布鲁氏菌病相关的血小板减少性紫癜在儿童中鲜有报道。血小板减少性紫癜通常是布鲁氏菌病一系列临床表现的一部分，如发热、不适、关节痛、关节炎、肝脾肿大和淋巴结病。我们描述了一名4岁女孩，严重血小板减少性紫癜是其布鲁氏菌病的唯一表现，经适当抗生素治疗后痊愈。我们得出结论，在布鲁氏菌病流行地区，以及有接触受感染食品史时，布鲁氏菌病应列入血小板减少性紫癜的鉴别诊断范围。
