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J Clin Diagn Res. 2016 Aug;10(8):OD05-6. doi: 10.7860/JCDR/2016/20773.8269. Epub 2016 Aug 1.

Rare Offshoot of a Common Malady Anaemia and Tuberculosis.

Author information

1
Junior Resident, Department of Internal Medicine, Kasturba Medical College (KMC) , Mangalore, Karnataka, India .
2
Professor and Head, Department of Pulmonary Medicine, Kasturba Medical College , Mangalore, Karnataka, India .
3
Senior Resident, Department of Medicine, Consultant; Department of Hematology, Kasturba Medical College , Mangalore, Karnataka, India .
4
Senior Resident, Department of Pulmonary Medicine, Kasturba Medical College , Mangalore, Karnataka, India .
5
Junior Resident, Department of Internal Medicine, Kasturba Medical College , Mangalore, Karnataka, India .

Abstract

Haematological manifestations are one of the rarer presentations of tuberculosis and are usually of normocytic normochromic type. An association of Autoimmune Haemolytic Anaemia (AIHA) with active pulmonary tuberculosis is an exceeding rare entity, though anaemia and tuberculosis commonly co-exist. We report a patient with sputum negative pulmonary tuberculosis with associated Coomb's positive AIHA. The patient responded well to Anti- Tubercular Therapy (ATT) and low dose steroids tapered over a month.

KEYWORDS:

Acid fast bacilli; Anti tubercular therapy; Autoimmune haemolytic anaemia

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