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Case Reports in Medicine
Volume 2012, Article ID 473784, 4 pages
http://dx.doi.org/10.1155/2012/473784
Case Report

An Atypical Presentation of Brucellosis in a Patient with Isolated Thrombocytopenia Complicated with Upper Gastrointestinal Tract Bleeding

1Department of Internal Medicine, Faculty of Medicine, Erciyes University, 38039 Kayseri, Turkey
2Department of Hematology, Faculty of Medicine, Erciyes University, 38039 Kayseri, Turkey
3Department of Gastroenterology, Faculty of Medicine, Erciyes University, 38039 Kayseri, Turkey

Received 10 August 2012; Revised 1 October 2012; Accepted 2 October 2012

Academic Editor: Christian Urban

Copyright © 2012 Suleyman Baldane et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 59-year-old female patient was admitted to the emergency service with complaints of hematemesis and melena for the last few days. In laboratory tests, the platelet count was found to be /L. Intravenous or oral corticosteroid treatment was thought to be given for ITP but disclaimed due to upper GIS bleeding. On the 5th day of treatment, Brucella melitensis was isolated from blood culture before the results of Wright tube agglutination tests were reported positive as 1 : 80. On the second day of the anti-brucellosis treatment, the thrombocyte count was raised from 6000/mm3 to 110000/mm3, and on the 3rd day to 225000/mm3.