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Int J Mycobacteriol. 2019 Jan-Mar;8(1):107-109. doi: 10.4103/ijmy.ijmy_169_18.

Immune thrombocytopenic purpura in a patient with disseminated tuberculosis: An unusual presentation.

Author information

1
Department of Critical Care Medicine, Sri Balaji Action Medical Institute, New Delhi, India.
2
Department of Internal Medicine, Sri Balaji Action Medical Institute, New Delhi, India.

Abstract

Pulmonary tuberculosis can have a wide variety of presentations including hematological manifestations. We report a case of a young male patient who presented with complaints of generalized petechiae, gum bleeding, systemic lymphadenopathy, and severe thrombocytopenia. His bone marrow revealed normal megakaryocytes, and in the absence of hepatosplenomegaly, a diagnosis of immune thrombocytopenic purpura (ITP) was made. The thrombocytopenia responded to course of intravenous immune globulin. The smear made from fine-needle aspiration of cervical lymph nodes showed acid-fast bacilli. This case highlights the rare association of extrapulmonary tuberculosis with ITP.

KEYWORDS:

Extrapulmonary tuberculosis with immune thrombocytopenic purpura; hematological manifestations of tuberculosis; immune thrombocytopenic purpura

PMID:
30860190
DOI:
10.4103/ijmy.ijmy_169_18
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