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Immune thrombocytopenic purpura and tuberculosis: a rare association with management implications

Immune thrombocytopenia is a rare hematological manifestation associated with tuberculosis (TB). A 68-year-old postmenopausal woman was admitted to our hospital with fever and headache for 3 months and lower limb petechial rash since 1 day. She was evaluated and diagnosed to have central nervous system TB. She also had isolated thrombocytopenia and elevated platelet-associated IgG antibodies with a normal bone marrow study. Steroids combined with anti-TB drugs corrected thrombocytopenia and cured TB. We describe a rare hematological manifestation associated with TB and its management to make the readers aware of such unusual presentations of TB.