Brucellosis is a rare zoonotic infection caused by small,
fastidious Gram-negative coccobacilli of the genus Brucella
that may be associated with haemolytic complications
including thrombotic microangiopathy and haemolytic
anaemia. We describe a patient with culture confirmed
brucellosis who presented with malaise, high grade fever,
hepatosplenomegaly and Coombs-positive autoimmune
haemolytic anaemia. The patient was successfully treated
with combination of doxycycline and rifampicin with no
further episodes of relapses or haemolysis. Although rare,
the possibility of brucellosis should always be kept in mind
in patients with risk factors who present with haemolysis
and endemic area.