一名抑郁症患者出现布鲁氏菌病伴噬血细胞性淋巴组织细胞增生症和多发性脾脓肿。
Brucellosis accompanied by haemophagocytic lymphohistiocytosis and multiple splenic abscesses in a patient with depression.
作者信息
Elzein Fatehi E, Al Sherbini Nisreen, Alotaibi Mohammed M, Al-Hassan Wassiem M
机构信息
Department of Medicine, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Department of Medicine-ID, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
出版信息
BMJ Case Rep. 2018 Mar 27;2018:bcr-2017-224018. doi: 10.1136/bcr-2017-224018.
Abstract
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.
摘要
一名39岁女性在我们诊所接受抑郁症治疗。随后她出现发热，被诊断为全血细胞减少和中度脾肿大。实验室检查和骨髓检查结果，包括血清铁蛋白水平显著升高，提示噬血细胞性淋巴组织细胞增生症。CT显示多个脾脓肿和卵巢静脉血栓形成。经治疗培养阳性布鲁氏菌病后，所有实验室指标恢复正常。
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