Thrombocytopenic purpura as a presenting manifestation of tubercular lymphadenitis.
A 11-year-old girl presented with thrombocytopenic purpura along with cervical lymphadenopathy. There was no hepatosplenomegaly; no evidence of microangiopathy; bone marrow examination was normal. Acid fast bacilli were seen in fine needle aspiration cytology of the lymph node. A diagnosis of tubercular lymphadenitis in association with immune thrombocytopenia was made, and the platelet count recovered with antitubercular therapy. This report illustrates immune thrombocytopenia as a rare manifestation of childhood tuberculosis; the authors also discuss other causes of thrombocytopenia in childhood tuberculosis.
Bakhshi
Sameer
S
Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India. sambakh@hotmail.com
Kabra
Madhulika
M
Iyer
Venkaleswaran K
VK
Arya
L S
LS
D002648:Child; D005260:Female; D006801:Humans; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000175:diagnosis* / Q000209:etiology; D014388:Tuberculosis, Lymph Node / Q000150:complications / Q000175:diagnosis*