title: Thrombocytopenic purpura as a presenting manifestation of tubercular lymphadenitis.
abstract: 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.
authors.affiliation: Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India. sambakh@hotmail.com
authors.forename: Sameer
authors.initials: S
authors.lastname: Bakhshi
authors.forename: Madhulika
authors.initials: M
authors.lastname: Kabra
authors.forename: Venkaleswaran K
authors.initials: VK
authors.lastname: Iyer
authors.forename: L S
authors.initials: LS
authors.lastname: Arya
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000175:diagnosis* / Q000209:etiology; D014388:Tuberculosis, Lymph Node / Q000150:complications / Q000175:diagnosis*