Abstract
A 39-year-old woman was being treated for depression in our clinic. She subsequently developed a fever and was diagnosed with pancytopenia and moderate splenomegaly. Laboratory and bone marrow results, including markedly increased serum ferritin levels, suggested haemophagocytic lymphohistiocytosis. CT showed multiple splenic abscesses and ovarian vein thrombosis. All laboratory values returned to normal after treatment for culture-positive brucellosis.
Keywords:
haematology (incl blood transfusion); infections; mood disorders (including depression).
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MeSH terms
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Abscess / diagnostic imaging
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Abscess / drug therapy
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Abscess / etiology*
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Adult
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Anti-Bacterial Agents / therapeutic use*
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Antidepressive Agents, Second-Generation / therapeutic use
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Brucellosis / complications*
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Brucellosis / diagnosis
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Brucellosis / drug therapy
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Citalopram / therapeutic use
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Depressive Disorder / drug therapy
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Depressive Disorder / etiology*
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Diagnosis, Differential
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Doxycycline / therapeutic use
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Female
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Gentamicins / therapeutic use
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Humans
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Lymphohistiocytosis, Hemophagocytic / diagnosis
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Lymphohistiocytosis, Hemophagocytic / drug therapy
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Lymphohistiocytosis, Hemophagocytic / etiology*
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Spleen / diagnostic imaging
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Splenic Diseases / diagnostic imaging
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Splenic Diseases / drug therapy
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Splenic Diseases / etiology*
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Tomography, X-Ray Computed
Substances
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Anti-Bacterial Agents
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Antidepressive Agents, Second-Generation
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Gentamicins
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Citalopram
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Doxycycline