Immune Thrombocytopenia: An Exceptional Manifestation of Tuberculosis
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 4
Abstract
Association of immune thrombocytopenic purpura and tuberculosis is an exceptional condition. We report a case of cervical & retroperitoneal lymph node tuberculosis who presented with ITP. A 17 year old male was admitted to our hospital with oral mucosal bleed and petechial lesions all over body. A diagnosis of immune thrombocytopenia (ITP) was established and patient was treated with Intravenous (IV) Methyl- prednisolone therapy followed by oral steroids, however it was futile to bring forth any sustained platelet response. CT scan abdomen revealed multiple retroperitoneal lymph node masses .Fine Needle Aspiration (FNA) of these lymph nodes revealed caseating lymphadenitis suggestive of tuberculosis. After 2 weeks of anti-tubercular therapy, the platelet counts returned to normal and patient was not on any treatment for ITP thus signifying likely association between tuberculosis and immune thrombocytopenia.
Authors and Affiliations
Neeraj Singla, Monica Gupta, Deepak Bansal
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