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Ceftriaxone-induced thrombocytopenia during tuberculosis treatment: a case report
Matthijs Plas1, Linda M Kampschreur2, Johannes A Kroes3
1Department of Internal Medicine, Medical Centre Leeuwarden, Leeuwarden, The Netherlands matthijsplas@live.nl Carina.Bethlehem@mcl.nl.
None:
We present a case of drug-induced immune thrombocytopenia (DITP) proven to be due to ceftriaxone instead of assumed tuberculostatic treatment in a patient with miliary tuberculosis. It is important to identify the culprit drug in DITP to avoid discontinuing essential treatment, especially when more than one drug is implicated. In these cases additional analysis (drug-dependent platelet antibody testing) should be considered to prevent unnecessary replacement of a first-line regimen of tuberculostatic treatment with an alternative treatment regime.
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