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CASE REPORT
Year : 2012  |  Volume : 4  |  Issue : 3  |  Page : 175-177

Immune thrombocytopenic purpura associated with pulmonary tuberculosis


1 Department of Tuberculosis and Respiratory diseases, North Bengal Medical College, Sushratanagar, Darjeeling, India
2 Department of Tuberculosis and Respiratory diseases, Medical College, Kolkata, India
3 Department of Tuberculosis and Respiratory diseases, Institute of Postgraduate Medical Education and Research, Kolkata, India
4 Department of Tuberculosis and Respiratory diseases, R.G. Kar Medical College, Kolkata, West Bengal, India

Correspondence Address:
Sibes Kumar Das
Department of Tuberculosis and Respiratory diseases, Medical College, Kolkata
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-777X.100580

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Thrombocytopenic purpura as a manifestation of pulmonary tuberculosis is very rare. We report a case of 25-year-old female who presented with thrombocytopenia-induced purpuric spots and an abnormal chest X-ray. There was no hepatosplenomegaly while the bone marrow examination revealed normal maturation of myeloid and erythroid series with increased megakaryocytes. Acid fast bacilli were seen in the sputum microscopy. A diagnosis of sputum smear positive pulmonary tuberculosis along with immune thrombocytopenia was made. High dose intravenous immunoglobulin therapy along with antituberculous drugs corrected the thrombocytopenia and also cured pulmonary tuberculosis. This case report illustrates the causal association between immune thrombocytopenia and tuberculosis.


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2008 Journal of Global Infectious Diseases | Published by Wolters Kluwer - Medknow
Online since 10th December, 2008