First case report of brucellosis in a child in Thailand.
Keswadee Lapphral, Amornrut Leelaporn, Nirun Vanprapar, Pimpanada Chearskul, Naphatsara Sawawiboon, Orasri Wittawatmongkol, Kulkanya Chokephaibulkit
Abstract
Keswadee Lapphral, Amornrut Leelaporn, Nirun Vanprapar, Pimpanada Chearskul, Naphatsara Sawawiboon, Orasri Wittawatmongkol, Kulkanya Chokephaibulkit
Abstract
Brucellosis is uncommon in children. In Thailand, there have been only seven adult cases reported, all with Brucella melitensis. We describe here the first reported pediatric case of brucellosis in Thailand. A 12-year old boy presented with prolonged fever for one month, pancytopenia, pneumonia and peritonitis. The blood culture grew out Brucella melitensis. He responded well to combination therapy consisting of doxycycline and gentamicin. He recovered fully without relapse during the 6 month follow-up.
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Brucellosis is uncommon in children. In Thailand, there have been only seven adult cases reported, all with Brucella melitensis. We describe here the first reported pediatric case of brucellosis in Thailand. A 12-year old boy presented with prolonged fever for one month, pancytopenia, pneumonia and peritonitis. The blood culture grew out Brucella melitensis. He responded well to combination therapy consisting of doxycycline and gentamicin. He recovered fully without relapse during the 6 month follow-up.
Key concepts: Brucellosis, Brucella melitensis, Pancytopenia, Doxycycline, Medicine, Brucella, Blood culture, Pediatrics