Diagnostically Challenging Case: Coexistence of Two Zoonoses

Törüyenler-Coşkunpınar M., AKDEMİR İ., YÜKSEL S., Aras N., Kurt-Yüksel M., AZAP A.

Infectious Diseases and Clinical Microbiology, cilt.7, sa.2, ss.214-219, 2025 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 7 Sayı: 2
  • Basım Tarihi: 2025
  • Doi Numarası: 10.36519/idcm.2025.501
  • Dergi Adı: Infectious Diseases and Clinical Microbiology
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.214-219
  • Anahtar Kelimeler: brucellosis, coinfection, Visceral leishmaniasis
  • Ankara Üniversitesi Adresli: Evet

Özet

A male patient presented with fever, cytopenia, and hepatosplenomegaly. The patient's Brucella tube agglutination test was positive at titers 1:640. Due to the lack of response to brucellosis treatment, additional tests were performed. Leishmania amastigotes were seen in the second bone marrow biopsy preparations. Leishmania PCR was positive, and visceral leishmaniasis (VL) was diagnosed. Here, we present a case of VL and brucellosis coinfection that presented with B symptoms (fever, night sweats, and weight loss) and cytopenia and was difficult to diagnose.