open access

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
DOI: 10.5603/HCP.2021.0005
·
Hematology in Clinical Practice 2021;12(1):29-32.
Affiliations
  1. Department of Clinical Pharmacology, Poznan University of Medical Sciences, Poland
  2. Department of Pulmonology and Inter nal Medicine, Wielkopolska Center of Pulmonology and Thoracic Surgery, Poznan, Poland

open access

Vol 12, No 1 (2021)
CASE REPORTS
Published online: 2021-09-29

Abstract

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.

Abstract

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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Keywords

immune thrombocytopenia, streptococcal pharyngitis, dexamethasone, prednisone, methylprednisolone

About this article
Title

Secondary immune thrombocytopenia after Streptococcus infection

Journal

Hematology in Clinical Practice

Issue

Vol 12, No 1 (2021)

Article type

Case report

Pages

29-32

Published online

2021-09-29

DOI

10.5603/HCP.2021.0005

Bibliographic record

Hematology in Clinical Practice 2021;12(1):29-32.

Keywords

immune thrombocytopenia
streptococcal pharyngitis
dexamethasone
prednisone
methylprednisolone

Authors

Katarzyna Korzeniowska
Artur Cieślewicz
Irmina Wietlicka
Anna Jabłecka

References (20)
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