Intracerebral Hemorrhage in a Patient With Newly Diagnosed Immune Thrombocytopenic Purpura Precipitated by a Viral Illness

Intracerebral hemorrhage (ICH) is a rare and severe complication of immune thrombocytopenic purpura (ITP) that can be spontaneous. Viral illnesses, other infections, autoimmune disorders, and medications can cause ITP. ITP causes a significant decrease in platelet levels, increasing bleeding risk. I...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-03, Vol.16 (3), p.e57284
Main Authors: Pongsakul, Ann, Daniel, Amy, Lochala, Roddy, Martin, David E
Format: Article
Language:English
Subjects:
Anemia
Apheresis
Blood platelets
Case reports
COVID-19
Dehydrogenases
Edema
Emergency medical care
Females
Hematology
Hemoglobin
Hemorrhage
Immune system
Infections
Influenza
Internal Medicine
Iron
Neurology
Neurosurgery
Ostomy
Patients
Purpura
Stroke
Thrombocytopenia
Viral infections
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Summary:Intracerebral hemorrhage (ICH) is a rare and severe complication of immune thrombocytopenic purpura (ITP) that can be spontaneous. Viral illnesses, other infections, autoimmune disorders, and medications can cause ITP. ITP causes a significant decrease in platelet levels, increasing bleeding risk. ITP can be treated by steroids, intravenous immunoglobulin, plasmapheresis, platelet transfusion, biological agents, and splenectomy. ICH treatment involves the treatment of underlying ITP, as well as any neuro-interventional procedures needed. In this case report, we look at the presenting symptoms and treatment course of an interesting case of ICH in a patient who developed ITP after a viral upper respiratory infection.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.57284