Open AccessImmune thrombocytopenic purpura associated with pulmonary tuberculosis
Author(s) -
Tapan Das Bairagya,
Suman Das,
Pulak Kumar Jana,
Sandip Bhattacharya
Publication year - 2012
Publication title -
journal of global infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.437
H-Index - 25
eISSN - 0974-8245
pISSN - 0974-777X
DOI - 10.4103/0974-777x.100580
Subject(s) - thrombocytopenic purpura , medicine , hepatosplenomegaly , sputum , tuberculosis , immunology , immune system , pulmonary tuberculosis , purpura (gastropod) , pathology , disease , ecology , biology
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.