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CASE REPORT
Year : 2019  |  Volume : 8  |  Issue : 1  |  Page : 107-109

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


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

Correspondence Address:
Prashant Nasa
Department of Critical Care Medicine, Sri Balaji Action Medical Institute, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmy.ijmy_169_18

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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.


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