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題名 | Acute Immune Thrombocytopenic Purpura in an Adolescent with 2009 Novel H1N1 Influenza a Virus Infection= |
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作者 | Lee, Chun-yi; Wu, Meng-che; Chen, Po-yen; Chou, Teh-ying; Chan, Yu-jiun; |
期刊 | Journal of the Chinese Medical Association |
出版日期 | 20110900 |
卷期 | 74:9 2011.09[民100.09] |
頁次 | 頁425-427 |
分類號 | 415.239 |
語文 | eng |
關鍵詞 | Adolescent; Immune thrombocytopenic purpura; Novel 2009 H1N1 influenza virus; |
英文摘要 | Although both leukopenia and thrombocytopenia are not uncommon hematological findings among patients with novel 2009 H1N1 influenza virus infection, immune thrombocytopenic purpura has rarely been shown to be associated with this novel influenza A infection. Here, we describe a previously healthy adolescent who presented with fever, influenza-like symptoms and acute onset of generalized petechiae and active oral mucosa bleeding on the third day of his illness. Severe leukopenia and thrombocytopenia were found. There was neither malignancy nor blast cells found by bone marrow aspiration. Real-time reverse transcriptase polymerase chain reaction was positive for novel 2009 H1N1 influenza infection. Novel influenza-associated atypical immune thrombocytopenic purpura was diagnosed. The patient recovered uneventfully after oseltamivir and methylprednisolone therapy. |
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