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Immune thrombocytopenia associated with lymph node tuberculosis: a case report
Vargas, Juliano Córdova; Bezerra, Patrícia Nunes; Sequeira, Murilo; Oliveira, Gabriella Haydée de; Pegolo, Carlos Eduardo; Fiore, Lucas; Hamerschlak, Nelson; Ferreira, Paulo Roberto Abrão.
Affiliation
  • Vargas, Juliano Córdova; Américas Oncologia e Hematologia. Departamento de Hematologia. São Paulo. BR
  • Bezerra, Patrícia Nunes; Centro Universitário São Camilo. Faculdade de Medicina. São Paulo. BR
  • Sequeira, Murilo; Centro Universitário São Camilo. Faculdade de Medicina. São Paulo. BR
  • Oliveira, Gabriella Haydée de; Centro Universitário São Camilo. Faculdade de Medicina. São Paulo. BR
  • Pegolo, Carlos Eduardo; Centro Universitário São Camilo. Faculdade de Medicina. São Paulo. BR
  • Fiore, Lucas; Hospital Metropolitano da Lapa. Departamento de Radiologia. São Paulo. BR
  • Hamerschlak, Nelson; Américas Oncologia e Hematologia. Departamento de Hematologia. São Paulo. BR
  • Ferreira, Paulo Roberto Abrão; Universidade Federal de São Paulo. Departamento de Infectologia. São Paulo. BR
Rev. Soc. Bras. Med. Trop ; 56: e0072, 2023. graf
Article in En | LILACS-Express | LILACS | ID: biblio-1449336
Responsible library: BR1.1
ABSTRACT
ABSTRACT Extrapulmonary tuberculosis associated with immune thrombocytopenia (ITP) is extremely rare. A likely association between ITP and pulmonary and lymph node tuberculosis was reported in a 29-year-old male patient. His platelet count decreased to 4,000/µL. Chest tomography revealed mediastinal adenomegaly, lymph node clusters in the aorta, and consolidation in the left upper lung lobe. Immunoglobulin and methylprednisolone were administered intravenously. The histopathology of the left upper lung lobe confirmed tuberculosis. The rifampicin/isoniazid/pyrazinamide/ethambutol regimen was initiated, and the corticosteroids were tapered off. This case suggests an association of tuberculosis with ITP, since the platelet count effectively normalized after tuberculosis treatment.
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Full text: 1 Collection: 01-internacional Database: LILACS Type of study: Risk_factors_studies Language: En Journal: Rev. Soc. Bras. Med. Trop Journal subject: MEDICINA TROPICAL Year: 2023 Document type: Article Affiliation country: Brazil Country of publication: Brazil
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Full text: 1 Collection: 01-internacional Database: LILACS Type of study: Risk_factors_studies Language: En Journal: Rev. Soc. Bras. Med. Trop Journal subject: MEDICINA TROPICAL Year: 2023 Document type: Article Affiliation country: Brazil Country of publication: Brazil