Cytomegalovirus: A possible cause of Persistent Refractory Immune Thrombocytopenic Purpura
Journal Title: Journal of Advances in Internal Medicine - Year 2014, Vol 3, Issue 1
Abstract
We present a case of a healthy 22 years old who presented with bruising and hematoma following a minor trauma. Investigations showed severe thrombocytopenia but complete hematological investigations did not reveal a cause. An aggressive treatment with steroids, IVIG, anti-D, splenectomy and immunosuppressant proved to be refractory. A prompted an infectious workup which revealed Cytomegalovirus infection. Platelet count improved and remained stable after eradication of Cytomegalovirus. We conclude that infection with CMV should be ruled out in cases of severe refractory immune thrombocytopenic purpura
Authors and Affiliations
Raksha Shrestha*| Department of Hematology-Oncology, College of Medicine, University of Illinois at Chicago, USA, Damiano Rondelli| Department of Hematology-Oncology, College of Medicine, University of Illinois at Chicago, USA, Mingma Thsering Sherpa| Department of Hematology-Oncology, College of Medicine, University of Illinois at Chicago, USA
Keywords
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- EP ID EP4783
- DOI http://dx.doi.org/10.3126/jaim.v3i1.10704
- Views 513
- Downloads 21
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