Rifampicin-Induced Thrombocytopenia: A Case Report and Short Review of the Literature

Thrombocytopenia may be associated with a variety of conditions and risks depending on its severity, ranging from mild epistaxis to life-threating bleeding. Many drugs or herbal remedies can cause thrombocytopenia by either inhibiting platelet production and/or enhancing their destruction from the...

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Main Authors: Epameinondas Koumpis, Konstantina Papathanasiou, Ioannis Papakonstantinou, Iliana Tassi, Anastasia Serpanou, Eleni Kapsali, Eleftheria Hatzimichael
Format: Article
Language:English
Published: European Medical Journal 2021-04-01
Series:European Medical Journal
Online Access:https://www.emjreviews.com/hematology/article/rifampicin-induced-thrombocytopenia-a-case-report-and-short-review-of-the-literature/
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author Epameinondas Koumpis
Konstantina Papathanasiou
Ioannis Papakonstantinou
Iliana Tassi
Anastasia Serpanou
Eleni Kapsali
Eleftheria Hatzimichael
author_facet Epameinondas Koumpis
Konstantina Papathanasiou
Ioannis Papakonstantinou
Iliana Tassi
Anastasia Serpanou
Eleni Kapsali
Eleftheria Hatzimichael
author_sort Epameinondas Koumpis
collection DOAJ
description Thrombocytopenia may be associated with a variety of conditions and risks depending on its severity, ranging from mild epistaxis to life-threating bleeding. Many drugs or herbal remedies can cause thrombocytopenia by either inhibiting platelet production and/or enhancing their destruction from the peripheral blood mediated via an immunological mechanism implicating drug-dependent antibodies. The latter entity is called drug-induced immune thrombocytopenia: a life-threatening, under-recognised condition, which is often a diagnostic challenge. Rifampicin is a widely used, well-tolerated, and effective bactericidal drug. Adverse events, except for gastrointestinal effects, headache, skin rash, and pruritus, are uncommon. The authors herein report on a patient with isolated thrombocytopenia with a recent medical history of brucellosis on rifampicin and doxycycline. Thrombocytopenia was proved to be rifampicin-induced. Also presented is a short review of the literature on this rare subject, which should be of great importance to clinicians.
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spelling doaj.art-12faf884c4074dbc92a2983e5e7331722024-04-24T09:01:36ZengEuropean Medical JournalEuropean Medical Journal2397-67642021-04-0110.33590/emj/20-00193Rifampicin-Induced Thrombocytopenia: A Case Report and Short Review of the LiteratureEpameinondas Koumpis0Konstantina Papathanasiou1Ioannis Papakonstantinou2Iliana Tassi3Anastasia Serpanou4Eleni Kapsali5Eleftheria Hatzimichael6Department of Haematology, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, GreeceDepartment of Haematology, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, GreeceDepartment of Haematology, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, GreeceDepartment of Haematology, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, GreeceDepartment of Haematology, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, GreeceDepartment of Haematology, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, GreeceDepartment of Haematology, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece Thrombocytopenia may be associated with a variety of conditions and risks depending on its severity, ranging from mild epistaxis to life-threating bleeding. Many drugs or herbal remedies can cause thrombocytopenia by either inhibiting platelet production and/or enhancing their destruction from the peripheral blood mediated via an immunological mechanism implicating drug-dependent antibodies. The latter entity is called drug-induced immune thrombocytopenia: a life-threatening, under-recognised condition, which is often a diagnostic challenge. Rifampicin is a widely used, well-tolerated, and effective bactericidal drug. Adverse events, except for gastrointestinal effects, headache, skin rash, and pruritus, are uncommon. The authors herein report on a patient with isolated thrombocytopenia with a recent medical history of brucellosis on rifampicin and doxycycline. Thrombocytopenia was proved to be rifampicin-induced. Also presented is a short review of the literature on this rare subject, which should be of great importance to clinicians.https://www.emjreviews.com/hematology/article/rifampicin-induced-thrombocytopenia-a-case-report-and-short-review-of-the-literature/
spellingShingle Epameinondas Koumpis
Konstantina Papathanasiou
Ioannis Papakonstantinou
Iliana Tassi
Anastasia Serpanou
Eleni Kapsali
Eleftheria Hatzimichael
Rifampicin-Induced Thrombocytopenia: A Case Report and Short Review of the Literature
European Medical Journal
title Rifampicin-Induced Thrombocytopenia: A Case Report and Short Review of the Literature
title_full Rifampicin-Induced Thrombocytopenia: A Case Report and Short Review of the Literature
title_fullStr Rifampicin-Induced Thrombocytopenia: A Case Report and Short Review of the Literature
title_full_unstemmed Rifampicin-Induced Thrombocytopenia: A Case Report and Short Review of the Literature
title_short Rifampicin-Induced Thrombocytopenia: A Case Report and Short Review of the Literature
title_sort rifampicin induced thrombocytopenia a case report and short review of the literature
url https://www.emjreviews.com/hematology/article/rifampicin-induced-thrombocytopenia-a-case-report-and-short-review-of-the-literature/
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