Case report of pediatric triple infection: Brucellosis, leptospirosis, and infective mononucleosis in Georgia

Abstract

Zoonotic infections are rare in the pediatric population of Georgia. We report a case of co-existing infections with brucellosis, leptospirosis, and infectious mononucleosis in a pediatric patient. An 11-year-old girl presented to our facility with a 12-day history of fever, chills, fatigue, arthralgia, myalgia, and refusal to walk. On evaluation, she was febrile and tachycardic, with hepatosplenomegaly and lymphadenopathy. The patient responded well to combination therapy of doxycycline and gentamicin, had a full recovery and was doing well with no relapse for 2 months follow-up.