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

作者机构：Pulmonology Unit Internal Medicine Kinshasa University Hospital Kinshasa Democratic Republic of the Congo 

出 版 物：《Journal of Tuberculosis Research》 (结核病研究（英文）)

年 卷 期：2023年第11卷第2期

页      面：62-66页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Pancytopenia Pulmonary Tuberculosis Treatment Case Report 

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.