Immune thrombocytopenic purpura associated with pulmonary tuberculosis.
Thrombocytopenic purpura as a manifestation of pulmonary tuberculosis is very rare. We report a case of 25-year-old female who presented with thrombocytopenia-induced purpuric spots and an abnormal chest X-ray. There was no hepatosplenomegaly while the bone marrow examination revealed normal maturation of myeloid and erythroid series with increased megakaryocytes. Acid fast bacilli were seen in the sputum microscopy. A diagnosis of sputum smear positive pulmonary tuberculosis along with immune thrombocytopenia was made. High dose intravenous immunoglobulin therapy along with antituberculous drugs corrected the thrombocytopenia and also cured pulmonary tuberculosis. This case report illustrates the causal association between immune thrombocytopenia and tuberculosis.
Department of Tuberculosis and Respiratory diseases, North Bengal Medical College, Sushratanagar, Darjeeling, India.
Tapan Das
TD
Bairagya
Sibes Kumar
SK
Das
Pulak Kumar
PK
Jana
Somnath
S
Bhattacharya