Pancytopenia and Pulmonary Tuberculosis: A Case Report  

作　　者：Innocent Murhula Kashongwe Okamba Penge Benoit Kabengele Obel Serge Bisuta Fueza Zacharie Kashongwe Munogolo Innocent Murhula Kashongwe;Okamba Penge;Benoit Kabengele Obel;Serge Bisuta Fueza;Zacharie Kashongwe Munogolo(Pulmonology Unit, Internal Medicine, Kinshasa University Hospital, Kinshasa, Democratic Republic of the Congo)

机构地区：[1]Pulmonology Unit, Internal Medicine, Kinshasa University Hospital, Kinshasa, Democratic Republic of the Congo

出　　处：《Journal of Tuberculosis Research》2023年第2期62-66,共5页结核病研究（英文）

摘　　要：Background: Hematopoietic system is seriously affected by tuberculosis. It exerts a dazzling variety of hematological effects involving both cell lines and plasma components [1]. Anemia and leukopenia are not unusual with tuberculosis (TB), but pancytopenia is rare [2]. Findings: In this report, we described a case of a 42 years man presenting bleeding and pancytopenia;bacteriological pulmonary TB was established by genotypic rapid test and treatment following the WHO guidelines on drug-sensitive TB treatment. Patient recovered entirely with the WHO recommended regimen associated with general and local treatment of the bleeding. Conclusion: This case report emphasizes the importance of always suspecting tuberculosis in a tuberculosis-endemic area, even when the clinical manifestations are atypical, like pancytopenia and also of properly investigating the differential diagnosis. Even though prognosis seems to be less good, actual treatment regimen is still effective.Background: Hematopoietic system is seriously affected by tuberculosis. It exerts a dazzling variety of hematological effects involving both cell lines and plasma components [1]. Anemia and leukopenia are not unusual with tuberculosis (TB), but pancytopenia is rare [2]. Findings: In this report, we described a case of a 42 years man presenting bleeding and pancytopenia;bacteriological pulmonary TB was established by genotypic rapid test and treatment following the WHO guidelines on drug-sensitive TB treatment. Patient recovered entirely with the WHO recommended regimen associated with general and local treatment of the bleeding. Conclusion: This case report emphasizes the importance of always suspecting tuberculosis in a tuberculosis-endemic area, even when the clinical manifestations are atypical, like pancytopenia and also of properly investigating the differential diagnosis. Even though prognosis seems to be less good, actual treatment regimen is still effective.

关 键 词：PANCYTOPENIA Pulmonary Tuberculosis TREATMENT Case Report 

分 类 号：R73[医药卫生—肿瘤]