An unusual presentation of tuberculous lymphadenitis.
A 43 years male presented with recurrent epistaxis and had generalised lymphadenopathy on examination. No haematological disorder could be established even after bone marrow aspiration and biopsy but the patient was found to have tuberculosis of the lymph node on histopathology, with severe thrombocytopenia in the peripheral blood and increased platelet precursor in the marrow suggesting peripheral platelet destruction. Anti-tuberculous therapy was started but the patient died due to subarachnoid haemorrhage.
Bandyopadhyay
Sanjay Kumar
SK
Department of Medicine, Institute of Postgraduate Medical Education and Research, Kolkata 700020.
Sarkar
Nirmalendu
N
Ghosh
Souvik
S
Dasgupta
Sanjay
S
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001921:Brain / Q000473:pathology; D004844:Epistaxis / Q000209:etiology; D017809:Fatal Outcome; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008297:Male; D013256:Steroids / Q000627:therapeutic use; D013921:Thrombocytopenia / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014388:Tuberculosis, Lymph Node / Q000150:complications* / Q000188:drug therapy
D000995:Antitubercular Agents; D013256:Steroids