title: A Case of Immune Thrombocytopenic Purpura Secondary to Pulmonary Tuberculosis.
abstract: The haematological abnormalities associated with active pulmonary tuberculosis were known to human beings since decades but Immune Thrombocytopenic Purpura (ITP) secondary to pulmonary tuberculosis have been reported only in a couple of instances. We report a 27 year-old male patient who was admitted to our hospital with fever, shortness of breath, haematuria, epistaxis and generalized petechiae. The sputum positivity for Acid Fast Bacilli (AFB) and chest X-ray reports were suggestive of active pulmonary tuberculosis in our patient. Clinical and laboratory parameters including bone marrow aspiration cytology diagnosed the case to be ITP. Patient was put on Directly Observed Treatment and Short course (DOTS) category-1 Anti-Tuberculosis Therapy (ATT) and prednisone following which thrombocytopenia was corrected and there was complete recovery of the patient without recurrence of thrombocytopenia.
authors.affiliation: Junior Resident, Department of Medicine, MKCG Medical College , Brahmapur, Odisha, india .
authors.forename: Sameer
authors.initials: S
authors.lastname: Panda
authors.affiliation: Professor, Department of Medicine, MKCG Medical College , Brahmapur, Odisha .
authors.forename: Lalit Kumar
authors.initials: LK
authors.lastname: Meher
authors.affiliation: Junior Resident, Department of Medicine, MKCG Medical College , Brahmapur, Odisha, India .
authors.forename: Siba Prasad
authors.initials: SP
authors.lastname: Dalai
authors.affiliation: Assistant Professor, Department of Medicine, MKCG Medical College , Brahmapur, Odisha, India .
authors.forename: Sachidananda
authors.initials: S
authors.lastname: Nayak
authors.affiliation: Senior Resident, Department of Medicine, MKCG Medical College , Brahmapur, Odisha, India .
authors.forename: Sujit Kumar
authors.initials: SK
authors.lastname: Tripathy
keywords: Anti-tuberculosis therapy; Directly observed treatment and short course; Prednisolone