International Journal of Contemporary Medicine

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Isolated Thrombocytopenia in Pulmonary Tuberculosis: A Case Report and Review


Affiliations
1 Columbia Asia Hospital, Ghaziabad, U.P, India
2 Department of Microbiology, Saraswathi Institute of Medical Sciences, Hapur, U.P, India
     

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Introduction: Isolated thrombocytopenia in association with childhood tuberculosis is a rare event and occasional reports are described in pediatric literature. We describe a case of isolated thrombocytopenia associated with active pulmonary tuberculosis in a three year old girl with no history of intake of anti tubercular drugs.

Case report: A three year old girl presented with low grade fever, decreased appetite, dry cough for six weeks and generalized cutaneous petechial rash for one day with no history of bleeding sites, hematuria or malena. Hematologic investigations, mantoux test and chest X-ray were advised.

Findings: Hematologic investigations revealed that TLC and DLC were within normal limits while platelets could not be demonstrated on peripheral blood smear.ESR was raised and mantoux test was positive. Chest X-ray revealed bilateral miliary shadows.

Treatment: The patient was treated successfully with anti tubercular drugs and a short steroid therapy.

Review: Above case was discussed in light of literature available in the matter.


Keywords

Thrombocytopenia, Peticheal Rash, Pulmonary Tuberculosis, ATT.
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  • Isolated Thrombocytopenia in Pulmonary Tuberculosis: A Case Report and Review

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Authors

Sanjay Sharma
Columbia Asia Hospital, Ghaziabad, U.P, India
Sanjeev Dimri
Department of Microbiology, Saraswathi Institute of Medical Sciences, Hapur, U.P, India
Rahul Chauhan
Columbia Asia Hospital, Ghaziabad, U.P, India

Abstract


Introduction: Isolated thrombocytopenia in association with childhood tuberculosis is a rare event and occasional reports are described in pediatric literature. We describe a case of isolated thrombocytopenia associated with active pulmonary tuberculosis in a three year old girl with no history of intake of anti tubercular drugs.

Case report: A three year old girl presented with low grade fever, decreased appetite, dry cough for six weeks and generalized cutaneous petechial rash for one day with no history of bleeding sites, hematuria or malena. Hematologic investigations, mantoux test and chest X-ray were advised.

Findings: Hematologic investigations revealed that TLC and DLC were within normal limits while platelets could not be demonstrated on peripheral blood smear.ESR was raised and mantoux test was positive. Chest X-ray revealed bilateral miliary shadows.

Treatment: The patient was treated successfully with anti tubercular drugs and a short steroid therapy.

Review: Above case was discussed in light of literature available in the matter.


Keywords


Thrombocytopenia, Peticheal Rash, Pulmonary Tuberculosis, ATT.

References