Abstract

A myriad of haematological manifestations are reported with tuberculosis (TB) such as anaemia, leucocytosis and pancytopenia. Thrombocytopenia occurring in association with TB can be immune mediated, often induced by anti-tubercular drugs. Immune-mediated thrombocytopenia due to TB itself is extremely rare. Isolated thrombocytopenia has been reported in 23–43% of patients with disseminated TB.[1] Newly diagnosed immune thrombocytopenia in TB is rare; only 27 cases have been reported so far.[2] When a patient with TB presents with haemoptysis to the Intensive Care Unit (ICU), one should rule out coexisting thrombocytopenia. Untreated thrombocytopenia may result in dreaded complications such as retro-orbital, retro-peritoneal and intracranial haemorrhage.

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