Author: Al Argan, Reem J.; Al Elq, Abdulmohsen H.
Title: Tuberculosis-associated Immune Thrombocytopenia: A Case Report Document date: 2018_8_14
ID: q9z0wb7j_12
Snippet: The primary treatment is anti-TB medications in addition to IVIG, which can help achieve transient but reliable improvement without aggravating the underlying TB. Steroids was used in some cases; however, it may occasionally aggravate TB. Accordingly, the authors believe that the use of steroid therapy in this patient without anti-TB medications may have led to dissemination of his TB infection. The empirical use of anti-TB medications may have b.....
Document: The primary treatment is anti-TB medications in addition to IVIG, which can help achieve transient but reliable improvement without aggravating the underlying TB. Steroids was used in some cases; however, it may occasionally aggravate TB. Accordingly, the authors believe that the use of steroid therapy in this patient without anti-TB medications may have led to dissemination of his TB infection. The empirical use of anti-TB medications may have been indicated during the first admission, but the patient had refused the diagnostic lymph node biopsy. In addition, the anti-TB medications were not initiated during the first admission because lymphoma was considered to be the likely diagnosis.
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