Pancytopenia with hypocellular bone marrow due to miliary tuberculosis: an unusual presentation.
In a patient who presented with fever, weight loss and abdominal swelling, blood counts revealed pancytopenia. Broad-spectrum empirical antibiotic treatment was started because of neutropenic fever, but without effect. The bone marrow was hypocellular with an increase in fat droplets. Peritoneoscopy was performed to evaluate ascites; in the liver biopsy specimen caseous granulomas were seen and the patient was found to suffer from miliary tuberculosis. Antituberculous therapy was begun and the patient recovered completely and the haematological parameters returned to normal.
Demiroğlu
H
H
Hacettepe University Medical School, Department of Hematology, Ankara, Turkey.
Ozcebe
O I
OI
Ozdemir
L
L
Sungur
A
A
Dündar
S
S
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use; D001706:Biopsy; D001853:Bone Marrow / Q000473:pathology; D001855:Bone Marrow Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D006801:Humans; D008099:Liver / Q000473:pathology; D008297:Male; D010198:Pancytopenia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D014391:Tuberculosis, Miliary / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
D000900:Anti-Bacterial Agents; D000995:Antitubercular Agents