Vol 12, No 1 (2021)
Case report
Published online: 2021-09-29

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Secondary immune thrombocytopenia after Streptococcus infection

Katarzyna Korzeniowska1, Artur Cieślewicz1, Irmina Wietlicka2, Anna Jabłecka1
Hematology in Clinical Practice 2021;12(1):29-32.


Immune thrombocytopenia is typically characterized by a decrease in platelet (PLT) count and bleeding diathesis symptoms or increased bleeding risk. In the report, we describe a case of a 19-year-old female patient who suffered from secondary immune thrombocytopenia in the course of streptococcal pharyngitis. After diagnosis, the patient received pharmacotherapy for thrombocytopenia according to Polish standards (intravenous dexamethasone sodium phosphate) which improved the platelet level. However, the change from dexamethasone intravenous to oral prednisone resulted in PLT level decrease. Hematological improvement was observed only after changing prednisone to methylprednisolone.

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Hematology in Clinical Practice