Akdeniz H, Irmak H, Seçkinli T, Buzgan T, Demiröz A P
Department of Clinical Microbiology and Infectious Diseases, Yüzüncü Yil University Medical School, Van, Turkey.
Acta Med Okayama. 1998 Feb;52(1):63-5. doi: 10.18926/AMO/31333.
The hematological findings of 233 patients with brucellosis are presented and the possible pathologies discussed. Anemia was present in 128 patients (55%), leukopenia in 49 (21%) and thrombocytopenia in 59 (26%). Bone marrow aspirates of 18 patients (8%) with pancytopenia were examined. The bone marrow was hypercellular in 15 and normocellular in 3 patients. Granulomatous lesions were detected in 12 cases (67%), and slight to moderate cytophagocytosis of erythrocytes, granulocytes and platelets existed in all patients. Blood cell counts reverted to normal within 2-3 weeks of initiating chemotherapy with recovery from the disease.
本文呈现了233例布鲁氏菌病患者的血液学检查结果,并讨论了可能的病理情况。128例患者(55%)出现贫血,49例(21%)出现白细胞减少,59例(26%)出现血小板减少。对18例(8%)全血细胞减少的患者进行了骨髓穿刺检查。15例患者骨髓细胞增多,3例患者骨髓细胞数量正常。12例(67%)检测到肉芽肿性病变,所有患者均存在轻度至中度的红细胞、粒细胞和血小板吞噬现象。化疗开始后2至3周内血细胞计数恢复正常,疾病痊愈。