Brucellosis causing bone marrow aplasia in an 11-year-old patient with complete recovery after treatment

Case report of pediatric triple infection: Brucellosis, leptospirosis, and infective mononucleosis in Georgia

“…Transmission occurs through direct contact with infected animal or consumption of unpasteurized dairy. 1,2 Childhood brucellosis produces mild-to-moderate disease and rarely progresses to chronicity. Fever and constitutional symptoms, including chills, sweating, fatigue, malaise, anorexia, weight loss, abdominal pain, headache, myalgia, and arthralgia, are the most common in children.…”

“…The classic symptoms include malaise, fever, sore throat, fatigue, hepatosplenomegaly, and generalized adenopathy. [10][11][12][13] Overlap of the clinical features of brucellosis and leptospirosis with other infections, such as influenza, enteric fever, viral hepatitis A, Q fever (Coxiella burnetti), EBV infection, leishmaniasis, histoplasmosis, bartonella, and mycobacterial diseases, makes zoonotic infections hard to distinguish clinically and should be included in the differential diagnosis of acute prolonged febrile illness. 7…”