A Brucellosis Case With Ascites, Hearing Loss and Pancytopenia

Abstract

Objectives- To report a rare case of brucellosis in a previously healthy 25-year-old woman who presented with fever, bilateral hearing loss, non-portal hypertensive type ascites and pancytopenia. Design- Case study. Setting- Departments of Gastroenterology and Infectious Diseases, Yuzuneu Yil University Medical Faculty, Van. Results- Cultures from bone marrow and ascites yielded growth of Brucella melitensis and Brucella standard tube agglutination was found to be positive at a titer of 1/1280. The patient completely recovered by the sixth week following combined antibacterial treatment of ciprofloxacin, rifampin and doxychline. Conclusion- Brucellosis is a multisystemic disease, which may be manifested by various symptoms. Our case is the first case of brucellosis to be reported in the literature with the rare association of severe complications of hearing loss, ascites and pancytopenia.