Disseminated tuberculosis presenting with severe thrombocytopenia and multiple bony lesions

A case of severe thrombocytopenia with multiple bony lytic lesions is presented. Bone marrow examination revealed caseating granuloma suggestive of disseminated tuberculosis. There was no evidence of pulmonary involvement with tuberculosis and the patient didn 't have any other comorbid condition. The patient responded well to standard antituberculous treatment