Trombocitopenia Inducida por Rifampicina

ABSTRACT: Rifampicin-induced thrombocytopenia is a rare but potentially fatal immune phenomenon. We report the case of an immunocompromised patient with disseminated tuberculosis who developed rifampicin-induced thrombocytopenia 12 hours after starting anti-tuberculous therapy without previous drug...

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Autores:
Ramírez Quintero, Juan David
Molina Valencia, Juliana
Restrepo Ochoa, Alejandra
Arango Barrientos, Marcos
Tipo de recurso:
Article of journal
Fecha de publicación:
2018
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
spa
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/12872
Acceso en línea:
http://hdl.handle.net/10495/12872
Palabra clave:
Trombocitopenia
Trombopenia
Tuberculosis
Rifampicina
Rights
openAccess
License
Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)
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repository_id_str
dc.title.spa.fl_str_mv Trombocitopenia Inducida por Rifampicina
dc.title.alternative.spa.fl_str_mv Rifampicin-induced thrombocytopenia
title Trombocitopenia Inducida por Rifampicina
spellingShingle Trombocitopenia Inducida por Rifampicina
Trombocitopenia
Trombopenia
Tuberculosis
Rifampicina
title_short Trombocitopenia Inducida por Rifampicina
title_full Trombocitopenia Inducida por Rifampicina
title_fullStr Trombocitopenia Inducida por Rifampicina
title_full_unstemmed Trombocitopenia Inducida por Rifampicina
title_sort Trombocitopenia Inducida por Rifampicina
dc.creator.fl_str_mv Ramírez Quintero, Juan David
Molina Valencia, Juliana
Restrepo Ochoa, Alejandra
Arango Barrientos, Marcos
dc.contributor.author.none.fl_str_mv Ramírez Quintero, Juan David
Molina Valencia, Juliana
Restrepo Ochoa, Alejandra
Arango Barrientos, Marcos
dc.subject.none.fl_str_mv Trombocitopenia
Trombopenia
Tuberculosis
Rifampicina
topic Trombocitopenia
Trombopenia
Tuberculosis
Rifampicina
description ABSTRACT: Rifampicin-induced thrombocytopenia is a rare but potentially fatal immune phenomenon. We report the case of an immunocompromised patient with disseminated tuberculosis who developed rifampicin-induced thrombocytopenia 12 hours after starting anti-tuberculous therapy without previous drug sensitization. The cause-effect relationship was confirmed when thrombocytopenia resolved with rifampicin suspension but later reappeared upon drug re-exposure.
publishDate 2018
dc.date.issued.none.fl_str_mv 2018
dc.date.accessioned.none.fl_str_mv 2020-01-06T16:26:07Z
dc.date.available.none.fl_str_mv 2020-01-06T16:26:07Z
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dc.identifier.citation.spa.fl_str_mv Molina-Valencia J, Restrepo-Ochoa A, Arango-Barrientos M, Ramírez-Quintero JD. Trombocitopenia inducida por rifampicina. Iatreia. 2018 Ene-Mar;31(1):103-107. DOI 10.17533/udea.iatreia.v31n1a11
dc.identifier.issn.none.fl_str_mv 0121-0793
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dc.identifier.doi.none.fl_str_mv 10.17533/udea.iatreia.v31n1a11
dc.identifier.eissn.none.fl_str_mv 2011-7965
identifier_str_mv Molina-Valencia J, Restrepo-Ochoa A, Arango-Barrientos M, Ramírez-Quintero JD. Trombocitopenia inducida por rifampicina. Iatreia. 2018 Ene-Mar;31(1):103-107. DOI 10.17533/udea.iatreia.v31n1a11
0121-0793
10.17533/udea.iatreia.v31n1a11
2011-7965
url http://hdl.handle.net/10495/12872
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language spa
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dc.publisher.spa.fl_str_mv Universidad de Antioquia, Facultad de Medicina
dc.publisher.place.spa.fl_str_mv Medellín, Colombia
institution Universidad de Antioquia
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spelling Ramírez Quintero, Juan DavidMolina Valencia, JulianaRestrepo Ochoa, AlejandraArango Barrientos, Marcos2020-01-06T16:26:07Z2020-01-06T16:26:07Z2018Molina-Valencia J, Restrepo-Ochoa A, Arango-Barrientos M, Ramírez-Quintero JD. Trombocitopenia inducida por rifampicina. Iatreia. 2018 Ene-Mar;31(1):103-107. DOI 10.17533/udea.iatreia.v31n1a110121-0793http://hdl.handle.net/10495/1287210.17533/udea.iatreia.v31n1a112011-7965ABSTRACT: Rifampicin-induced thrombocytopenia is a rare but potentially fatal immune phenomenon. We report the case of an immunocompromised patient with disseminated tuberculosis who developed rifampicin-induced thrombocytopenia 12 hours after starting anti-tuberculous therapy without previous drug sensitization. The cause-effect relationship was confirmed when thrombocytopenia resolved with rifampicin suspension but later reappeared upon drug re-exposure.RESUMEN: La trombocitopenia inducida por rifampicina es un fenómeno de origen inmune cuya presentación es inusual pero potencialmente fatal. Se presenta el caso de un paciente inmunocomprometido y con tuberculosis diseminada quien desarrolló trombocitopenia inducida por rifampicina en las primeras 12 horas tras inicio de la terapia antituberculosa sin que mediara sensibilización previa al medicamento. Se confirmó la relación de causa-efecto al resolverse la trombocitopenia con la suspensión de la rifampicina y al reaparecer con la re-exposición al fármaco.4application/pdfspaUniversidad de Antioquia, Facultad de MedicinaMedellín, Colombiainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTCASOArtículo de revistahttp://purl.org/coar/version/c_970fb48d4fbd8a85Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/co/http://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by-nc-sa/4.0/TrombocitopeniaTrombopeniaTuberculosisRifampicinaTrombocitopenia Inducida por RifampicinaRifampicin-induced thrombocytopeniaIatreiaIatreia103107312ORIGINALRamirezJuan_2018_TrombocitopeniaInducidaRifampicina.pdfRamirezJuan_2018_TrombocitopeniaInducidaRifampicina.pdfArtículo de revistaapplication/pdf117071http://bibliotecadigital.udea.edu.co/bitstream/10495/12872/6/RamirezJuan_2018_TrombocitopeniaInducidaRifampicina.pdf22cdcc3793427d2d850906fd44c893fcMD56CC-LICENSElicense_urllicense_urltext/plain; charset=utf-849http://bibliotecadigital.udea.edu.co/bitstream/10495/12872/7/license_url4afdbb8c545fd630ea7db775da747b2fMD57license_textlicense_texttext/html; charset=utf-80http://bibliotecadigital.udea.edu.co/bitstream/10495/12872/8/license_textd41d8cd98f00b204e9800998ecf8427eMD58license_rdflicense_rdfapplication/rdf+xml; charset=utf-80http://bibliotecadigital.udea.edu.co/bitstream/10495/12872/9/license_rdfd41d8cd98f00b204e9800998ecf8427eMD59LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://bibliotecadigital.udea.edu.co/bitstream/10495/12872/10/license.txt8a4605be74aa9ea9d79846c1fba20a33MD51010495/12872oai:bibliotecadigital.udea.edu.co:10495/128722021-03-23 09:48:17.116Repositorio Institucional Universidad de Antioquiaandres.perez@udea.edu.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