Brucellosis presenting as hemorrhagic fever: a rare presentation in the Middle East - a case report

Abstract

Background: Zoonoses are infectious diseases, transmittable from vertebrate animals to humans. Hemorrhagic fevers are acute zoonotic diseases that can cause mild to life-threatening illnesses characterized by fever and bleeding disorders, while Brucellosis, also an infectious zoonotic disease, typically presents with high fever, muscle and joint pain, and malaise. Case Presentation: This case report discusses a 33-year-old male patient who presented with a febrile illness, accompanied by bleeding from various orifices, mimicking hemorrhagic fever, which after investigation turned out to be an unusual presentation of Brucellosis. Conclusion: This case emphasizes the importance of considering a broad differential diagnosis in patients with fever and hemorrhagic manifestations, not only in or near regions where Brucellosis is endemic, but also due to increasing international travel and globalization, also in regions where it is not.