Immune Thrombocytopenia Secondary Splenic Tuberculosis: A Case Report

Abstract

Namdaroglu S

Despite all the medical and scientific improvements over the past decades; tuberculosis still remains wide-spread and deadly serious. Splenic tuberculosis is a rare form of extra pulmonary tuberculosis. Immune thrombocytopenia is an auto-immune condition that results in isolated thrombocytopenia. Moreover, with its secondary form; it is scientifically proven that immune thrombocytopenia can be triggered with numerous infections or even non-infectious conditions. Although the symptoms and results can be severe, subordinate immune thrombocytopenia which is associated with splenic tuberculosis has not yet taken its crucial and much-needed place in the medical history, surprisingly this matter has not been profoundly covered and analysed yet. A report states that on a 63-year-old patient, diagnostic splenectomy was performed. This elderly patient suffers from purpura and petechial with the cause of immunemediated thrombocytopenia which is secondary to splenic tuberculous; and after the diagnostic splenectomy; splenic tuberculosis was pathologically detected in tests and microbiologic examinations. However, the treatment on patient worked and the medical experts treated the patient with splenectomy and antituberculous therapy. The crucial point here is that patients, who have immune thrombocytopenic purpura, should be exposed to relevant tests and the medical professionals should suspect the high-risk possibility of splenic tuberculosis especially in the endemic area in-patients who have higher risk. Regarding the diagnosis, histopathological examination remains as an ideal method, when it comes to a solid confirmation, executed with microbiological examination.

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