HIV associated thrombocytopenia, misdiagnosed as thrombotic thrombocytopenic purpura: a case report.
BACKGROUND
Thrombocytopenia is one of the protean hematological manifestations of infection by human immunodeficiency virus. We present a case where diagnosis of human immunodeficiency virus infection was delayed because thrombocytopenia was the only presenting feature.


METHODS
A female presented with chief complaint of fever, productive coughs weight loss and nocturnal sweating; was detected to have thrombocytopenia on a complete blood count, performed five months ago. Her other clinical chemistry and hematological investigations were normal. She was previously diagnosed as having TTP, and had received 55 sessions of plasma exchange before presenting to us. At this time she was detected to be HIV positive, had CD4+ counts of 26/mm3, treated with antiretroviral drugs and Cotrimoxazol, and discharged asymptomatically.


CONCLUSIONS
HIV should be suspected in all cases of unexplained thrombocytopenia.
Khorvash
Farzin
F
Department of Infectious and Tropical Diseases, Isfahan University of Medical Sciences, Isfahan, Iran. khorvash@med.mui.ac.ir
Naeini
Alireza Emami
AE
Behjati
Mohadesseh
M
Jalali
Mohammad
M