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Brucellosis Presenting With Pancytopenia and Foot Drop
Asad Inayat1, Qudrat U Marwat2, Waqar Hayat3
1Internal Medicine, Khyber Teaching Hospital, Peshawar, PAK.
Cureus
|October 13, 2020
Summary
Brucellosis, a bacterial zoonotic infection, can affect multiple organ systems. This case highlights a rare presentation of brucellosis in a teen with pancytopenia and foot drop, emphasizing the need for timely diagnosis and treatment.
Area of Science:
- Infectious Diseases
- Neurology
- Hematology
Background:
- Brucellosis is a neglected zoonotic disease prevalent in Africa, the Middle East, and Asia.
- It primarily impacts the reticuloendothelial system but can involve other organs.
- Neurobrucellosis, a CNS complication, presents with diverse neurological symptoms.
Observation:
- A 16-year-old male presented with brucellosis.
- The patient exhibited pancytopenia and foot drop.
- This case represents a rare manifestation of the disease.
Findings:
- Brucellosis was diagnosed in the adolescent.
- The patient's presentation included pancytopenia and foot drop.
- Neurobrucellosis was suspected due to neurological deficits.
Implications:
- Early diagnosis and treatment of brucellosis are crucial to prevent severe complications.
- This case underscores the varied clinical presentations of brucellosis, including neurological involvement.
- Integrated management involving antibiotics and physiotherapy is effective for brucellosis with neurological sequelae.
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