1Consultant Pediatrician, Columbia Asia Hospital, Ghaziabad, Uttar Pradesh, India
2Associate Professor, Department of Microbiology, Saraswathi Institute of Medical Sciences, Hapur, Uttar Pradesh, India
*Corresponding author: Sanjay Sharma, Consultant Pediatrician, Columbia Asia Hospital, Ghaziabad, U.P. India, Tel: +919971898178, E-mail: sanjay.sharma@columbiaasia.in
Online published on 7 October, 2013.
Isolated thrombocytopenia in association with childhood tuberculosis is a rare event and occasional reports are described in pediatric literature. We describe a case of isolated thrombocytopenia associated with active pulmonary tuberculosis in a three year old girl with no history of intake of anti tubercular drugs.
A three year old girl presented with low grade fever, decreased appetite, dry cough for six weeks and generalized cutaneous petechial rash for one day with no history of bleeding sites, hematuria or malena. Hematologic investigations, mantoux test and chest X-ray were advised.
Hematologic investigations revealed that TLC and DLC were within normal limits while platelets could not be demonstrated on peripheral blood smear.ESR was raised and mantoux test was positive. Chest X-ray revealed bilateral miliary shadows.
The patient was treated successfully with anti tubercular drugs and a short steroid therapy.
Above case was discussed in light of literature available in the matter.
Thrombocytopenia, Peticheal rash, Pulmonary tuberculosis, ATT
