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Revista Cubana de Hematología, Inmunología y Hemoterapia

versión impresa ISSN 0864-0289versión On-line ISSN 1561-2996

Resumen

JAIME FAGUNDO, Juan Carlos et al. Reactivation of brucellosis in an autologous hematopoietic transplant recipient: a case report. Rev Cubana Hematol Inmunol Hemoter [online]. 2022, vol.38, n.2, e1575.  Epub 01-Jun-2022. ISSN 0864-0289.

Introduction:

Brucellosis is the most frequent zoonosis, produced by the genus brucella, which affects several species of mammals, including human beings. It is transmitted to persons by direct contact with infected animals, by their excreta or by ingestion of unpasteurized products. In recent years, an increase has been described in immunocompromised patients.

Objectives:

To describe the reactivation of brucellosis in a hematopoietic transplant recipient patient, its course and management.

Case presentation:

A patient with Hodgkin's lymphoma and a history of brucellosis is presented; that she received a myeloablative autologous hematopoietic transplant. After haematological recovery, she started with symptoms of fever, diaphoresis, joint pain and hepato-splenomegaly. She was diagnosed with brucellosis, so treatment with doxycycline and rifampin was started, which eliminated the symptoms and made the evolutionary tests negative.

Conclusions:

Brucellosis can be asymptomatic for months or years and after immunosuppression it can be reactivated in transplanted patients. Suspicion and prompt treatment can bring about a cure and avoid complications.

Palabras clave : brucellosis; hematopoietic transplantation; immunosuppression; Hodgkin's disease.

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