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- W2930733881 abstract "PURPOSE: Aside from this being a rare case, it also sheds light upon a unique manifestation of a disease that in itself also is an atypical presentation that is not well documented and poorly understood especially from a disease that is the ninth leading cause of death worldwide according to the WHO. METHODS: The initial hemoglobin was low 40 g/dL. Several work-up for anemia was done which was attributed to a hemolytic cause. Multiple imaging was also done to rule out a paraneoplastic cause of the hemolytic anemia. Imaging of the nasopharynx showed a bilateral mass at the posterior nasopharynx. Biopsy of this mass revealed a chronic inflammation consistent with tuberculosis. RESULTS: There was significant improvement once started on anti-Koch’s regimen. Hemoglobin values became stable and were steadily increasing. Upon follow-up, the patient no longer exhibited pallor, body malaise, otalgia and otorrhea. CONCLUSIONS: The above patient is a case of AIHA secondary to a NPTB. In this report, AIHA was diagnosed through a positive direct Coombs test and primary NPTB was documented through biopsy and imaging. The resolution of AIHA through initiation of only anti-Koch’s medication alone confirms the diagnosis. CLINICAL IMPLICATIONS: This report is one of a kind due to the fact that an extremely rare presentation of AIHA in tuberculosis manifested in an equally rare presentation of tuberculosis in itself. There were no documented cases of AIHA documented in NPTB which makes this the first documented case." @default.
- W2930733881 created "2019-04-11" @default.
- W2930733881 creator A5087924899 @default.
- W2930733881 date "2019-04-01" @default.
- W2930733881 modified "2023-09-25" @default.
- W2930733881 title "AUTOIMMUNE HEMOLYTIC ANEMIA IN PRIMARY NASOPHARYNGEAL TB" @default.
- W2930733881 doi "https://doi.org/10.1016/j.chest.2019.02.081" @default.
- W2930733881 hasPublicationYear "2019" @default.
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