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首页> 外文期刊>Cases Journal >HIV associated thrombocytopenia, misdiagnosed as thrombotic thrombocytopenic purpura: a case report
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HIV associated thrombocytopenia, misdiagnosed as thrombotic thrombocytopenic purpura: a case report

机译：HIV相关的血小板减少症，被误诊为血栓性血小板减少性紫癜：一例

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Introduction Thrombocytopenia is one of the protean hematological manifestations of infection by human immunodeficiency virus. We present a case where diagnosis of human immunodeficiency virus infection was delayed because thrombocytopenia was the only presenting feature. Case presentation A female presented with chief complaint of fever, productive coughs weight loss and nocturnal sweating; was detected to have thrombocytopenia on a complete blood count, performed five months ago. Her other clinical chemistry and hematological investigations were normal. She was previously diagnosed as having TTP, and had received 55 sessions of plasma exchange before presenting to us. At this time she was detected to be HIV positive, had CD4+ counts of 26/mm3, treated with antiretroviral drugs and Cotrimoxazol, and discharged asymptomatically. Conclusion HIV should be suspected in all cases of unexplained thrombocytopenia.
机译：简介血小板减少症是人免疫缺陷病毒感染的蛋白质血液学表现之一。我们提出了一个案例，其中人类免疫缺陷病毒感染的诊断被推迟，因为血小板减少症是唯一的表现。病例介绍一名女性，主要症状为发烧，生产性咳嗽，体重减轻和夜间出汗。在五个月前进行的全血细胞计数检查中发现有血小板减少症。她的其他临床化学和血液学检查均正常。她先前被诊断出患有TTP，并在向我们介绍之前接受了55次血浆置换。此时，她被检测出HIV阳性，CD4 +计数为26 / mm3，用抗逆转录病毒药物和Cotrimoxazol治疗，并且无症状出院。结论在所有原因不明的血小板减少症病例中均应怀疑HIV。

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