CASE REPORT |
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Year : 2004 | Volume
: 7
| Issue : 3 | Page : 101-105 |
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Infections and thrombocytopenia in chronic idiopathic thrombocytopenic purpura (itp)- A case report
NKD Halim FMCPath
Department of Haematology and Blood Transfusion, College of Medical Sciences, University of Benin, Benin - City, Edo State, Nigeria
Correspondence Address:
NKD Halim Department of Haematology and Blood Transfusion, College of Medical Sciences, University of Benin, Benin - City, Edo State Nigeria
Source of Support: None, Conflict of Interest: None | Check |
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This is a case report to study the association between episodes of thrombocytopenia and bacterial infections in a patient with chronic idiopathic thrombocytopenic purpura ( IT P ).The case was a 31 year old female patient , with a history of chronic ecchymosis , melaena stool and menorrhagia, who presented at the female Medical Ward and Pathology Laboratory of the University of Benin Teaching Hospital .
Her sputum culture yielded gram positive cocci and gram negative bacilli , on three occasions, simultaneously with low platelet count and thrombocytopenia in the blood film . The platelet counts improved when the infectious agent was eliminated with antibiotics.
We conclude that the presence of bacterial infection and a low platelet count , with subsequent improvement of the platelet count following antibiotic therapy suggest an association between bacterial infection and thror;1bocytopenia in chronic ITP. This is the first reported case in this environment. There is a need to identify and vigorously treat bacterial infection with antibiotics in
\..ITP patient s prior to steroid usage. |
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