{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T19:57:11Z","timestamp":1772999831964,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Immune thrombocytopenia (ITP) is a rare but recognized hematologic complication of tuberculosis (TB), particularly miliary TB. We present a case of a 50\u2010year\u2010old female with severe thrombocytopenia and hemorrhagic manifestations secondary to miliary TB. The patient presented with mucocutaneous bleeding, anemia, and constitutional symptoms. Investigations revealed severe thrombocytopenia (11,000\/\u03bcL), erythroid hyperplasia on bone marrow aspiration, and radiographic findings consistent with miliary TB, later confirmed by sputum GeneXpert. Management included short\u2010course high\u2010dose dexamethasone for acute bleeding, followed by anti\u2010tuberculosis therapy (ATT), which led to sustained platelet recovery without further immunosuppression. This case highlights miliary TB as a reversible cause of secondary ITP and underscores the importance of investigating underlying infections in patients presenting with thrombocytopenia in TB\u2010endemic regions.<\/jats:p>","DOI":"10.1002\/ccr3.71922","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T03:42:35Z","timestamp":1769485355000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Miliary Tuberculosis With Immune Thrombocytopenia in 50\u2010Year\u2010Old Ethiopian Woman: A Case Report and Brief Review of Literature"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8946-3021","authenticated-orcid":false,"given":"Hayatu Awel","family":"Abdela","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, School of Medicine, College of Medicine and Health Sciences Wolkite University  Wolkite Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5943-944X","authenticated-orcid":false,"given":"Tamirat Godebo","family":"Woyimo","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, School of Medicine, College of Medicine and Health Sciences Jimma University  Jimma Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ragasa Getachew","family":"Bayisa","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, School of Medicine, College of Medicine and Health Sciences Jimma University  Jimma Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sisay Tagese","family":"Tafese","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, School of Medicine, College of Medicine and Health Sciences Jimma University  Jimma Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,26]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2022.11.022"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00277\u2010023\u201005466\u20101"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12288\u2010025\u201002119\u20103"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43168-024-00294-x"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.idcr.2020.e01012"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.2147\/IMCRJ.S355892"},{"key":"e_1_2_14_8_1","first-page":"160","article-title":"Tuberculosis\u2010Associated Immune Thrombocytopenia. 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