title: Immune thrombocytopenia associated with pulmonary tuberculosis.
abstract: Many hematological abnormalities, such as pancytopenia, anemia, and leukocytosis, can be associated with tuberculosis (TB). Immune thrombocytopenic purpura (ITP) is an extremely rare event in TB. We report a 46-year-old male patient who was admitted to hospital with a history of weight loss, combined with hemoptysis, fever, cough, sputum, general malaise, and night sweats. Physical examination revealed a body temperature of 38.8 °C, and petechiae distributed over the lower extremities. Laboratory findings were as follows: erythrocyte sedimentation rate, 84 mm/h; white blood cells, 7070/mm3; hemoglobin, 11.7 g/dl; and platelet count, 4000/mm3. On Ziehl-Neelsen stain of sputum, acid-fast bacilli were observed. Antituberculosis therapy was started, together with prednisolone, 0.5 mg/kg per day, from the day of admission. He was treated successfully with the steroid and antituberculous drugs.
authors.affiliation: Department of Pulmonary Medicine, School of Medicine, University of Uludag, Bursa, Turkey. ahmetursavas@gmail.com
authors.forename: Ahmet
authors.initials: A
authors.lastname: Ursavas
authors.forename: Dane
authors.initials: D
authors.lastname: Ediger
authors.forename: Rıdvan
authors.initials: R
authors.lastname: Ali
authors.forename: Duygu
authors.initials: D
authors.lastname: Köprücüoglu
authors.forename: Dilek
authors.initials: D
authors.lastname: Bahçetepe
authors.forename: Güzin
authors.initials: G
authors.lastname: Kocamaz
authors.forename: Funda
authors.initials: F
authors.lastname: Coskun
authors.forename: Ercüment
authors.initials: E
authors.lastname: Ege
mesh_terms: D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D011239:Prednisolone / Q000627:therapeutic use; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications* / Q000188:drug therapy; D014397:Tuberculosis, Pulmonary / Q000150:complications* / Q000188:drug therapy
chemical_list: D000893:Anti-Inflammatory Agents; D000995:Antitubercular Agents; D011239:Prednisolone