A rare presentation of brucellosis: acute cholestatic hepatitis

نویسندگان

چکیده

Abstract:
 Introduction: Brucellosis can present with clinical hepatitis and rarely as acute cholestatic hepatitis. The aim of the study is to demonstrate a rare presentation caused by Brucella melitensis. 
 Case Presentation: A thirty-nine-years-old male patient was admitted our department complaints fever, malaise, fatigue sweating. At hospitalization, temperature 39°C. Laboratory tests: White blood count (WBC) 4800 cells/mm3, platelet (PLT) 173 000/mm3, erythrocyte sedimentation rate (ESR) 38mm/h, C-reactive protein (CRP) 257 mg/L, alanine transferase (ALT) 284 U/L, aspartate (AST) 300U/L, γ-glutamyl transpeptidase (GGT) 1152U/L, alkaline phosphatase (ALP) 1762U/L, total bilirubin (T-Bil) 2.8mg/dL, direct (D-Bil) 1.3mg/dL, lactate dehydrogenase (LDH) 705 U/L. Gruber Widal test negative. Wright serum agglutination found be positive at 1/2560 titer.
 Conclusions:
 should kept in mind, especially differential diagnosis patients cholestasis accompanied fever.

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ژورنال

عنوان ژورنال: Journal of health sciences and medicine

سال: 2021

ISSN: ['2636-8579']

DOI: https://doi.org/10.32322/jhsm.877488