Tuberculosis miliar y púrpura trombocitopénica autoinmunitaria en un paciente inmunocompetente

Alonso Soto; Liliana Chambi

doi:10.24245/mim.v37i5.3534

Tuberculosis miliar y púrpura trombocitopénica autoinmunitaria en un paciente inmunocompetente

Translated title of the contribution: Miliary tuberculosis and autoimmune thrombocytopenic purpura in an immunocompetent patient

Alonso Soto
, Liliana Chambi

Universidad Ricardo Palma
Hospital Nacional Hipolito Unanue

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: Miliary tuberculosis represents a difficult diagnosis in clinical practice. It is due to lymphohematogenous dissemination of M. tuberculosis usually presented in an immunocompromised host. Its association with autoimmune thrombocytopenia is rare. CLINICAL CASE: A 31-year-old male immunocompetent patient with miliary tuberculosis and immune thrombocytopenic purpura with good response to antituberculous treatment plus high dose of steroids. CONCLUSIONS: Although the diagnosis of immune thrombocytopenic purpura is eminently clinical, in cases of association with tuberculosis, bone marrow aspirate should be performed to do the differential diagnosis with tuberculous myelopthysis, hemophagocytic syndromes or hematological malignancies.

Translated title of the contribution	Miliary tuberculosis and autoimmune thrombocytopenic purpura in an immunocompetent patient
Original language	Spanish
Pages (from-to)	852-856
Number of pages	5
Journal	Medicina Interna de Mexico
Volume	37
Issue number	5
DOIs	https://doi.org/10.24245/mim.v37i5.3534
State	Published - Sep 2021
Externally published	Yes

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This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

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10.24245/mim.v37i5.3534

Cite this

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title = "Tuberculosis miliar y p{\'u}rpura trombocitop{\'e}nica autoinmunitaria en un paciente inmunocompetente",

abstract = "BACKGROUND: Miliary tuberculosis represents a difficult diagnosis in clinical practice. It is due to lymphohematogenous dissemination of M. tuberculosis usually presented in an immunocompromised host. Its association with autoimmune thrombocytopenia is rare. CLINICAL CASE: A 31-year-old male immunocompetent patient with miliary tuberculosis and immune thrombocytopenic purpura with good response to antituberculous treatment plus high dose of steroids. CONCLUSIONS: Although the diagnosis of immune thrombocytopenic purpura is eminently clinical, in cases of association with tuberculosis, bone marrow aspirate should be performed to do the differential diagnosis with tuberculous myelopthysis, hemophagocytic syndromes or hematological malignancies.",

keywords = "Autoimmune thrombocytopenia, Immune thrombocytopenic purpura, Miliary tuberculosis",

author = "Alonso Soto and Liliana Chambi",

year = "2021",

month = sep,

doi = "10.24245/mim.v37i5.3534",

language = "Espa{\~n}ol",

volume = "37",

pages = "852--856",

journal = "Medicina Interna de Mexico",

issn = "0186-4866",

publisher = "Comunicaciones Cientificas Mexicanas S.A. de C.V.",

number = "5",

}

TY - JOUR

T1 - Tuberculosis miliar y púrpura trombocitopénica autoinmunitaria en un paciente inmunocompetente

AU - Soto, Alonso

AU - Chambi, Liliana

PY - 2021/9

Y1 - 2021/9

N2 - BACKGROUND: Miliary tuberculosis represents a difficult diagnosis in clinical practice. It is due to lymphohematogenous dissemination of M. tuberculosis usually presented in an immunocompromised host. Its association with autoimmune thrombocytopenia is rare. CLINICAL CASE: A 31-year-old male immunocompetent patient with miliary tuberculosis and immune thrombocytopenic purpura with good response to antituberculous treatment plus high dose of steroids. CONCLUSIONS: Although the diagnosis of immune thrombocytopenic purpura is eminently clinical, in cases of association with tuberculosis, bone marrow aspirate should be performed to do the differential diagnosis with tuberculous myelopthysis, hemophagocytic syndromes or hematological malignancies.

AB - BACKGROUND: Miliary tuberculosis represents a difficult diagnosis in clinical practice. It is due to lymphohematogenous dissemination of M. tuberculosis usually presented in an immunocompromised host. Its association with autoimmune thrombocytopenia is rare. CLINICAL CASE: A 31-year-old male immunocompetent patient with miliary tuberculosis and immune thrombocytopenic purpura with good response to antituberculous treatment plus high dose of steroids. CONCLUSIONS: Although the diagnosis of immune thrombocytopenic purpura is eminently clinical, in cases of association with tuberculosis, bone marrow aspirate should be performed to do the differential diagnosis with tuberculous myelopthysis, hemophagocytic syndromes or hematological malignancies.

KW - Autoimmune thrombocytopenia

KW - Immune thrombocytopenic purpura

KW - Miliary tuberculosis

UR - https://www.scopus.com/pages/publications/85118584257

U2 - 10.24245/mim.v37i5.3534

DO - 10.24245/mim.v37i5.3534

M3 - Artículo

AN - SCOPUS:85118584257

SN - 0186-4866

VL - 37

SP - 852

EP - 856

JO - Medicina Interna de Mexico

JF - Medicina Interna de Mexico

IS - 5

ER -

Tuberculosis miliar y púrpura trombocitopénica autoinmunitaria en un paciente inmunocompetente

Abstract

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