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Case report
COVID-19 complicated by immune thrombocytopaenic purpura and internal jugular vein thrombosis
  1. Danielle Bucke1,
  2. Katrin Alizadeh2 and
  3. Simon Hallam3
  1. 1Medicine, Chelsea and Westminster Healthcare NHS Trust, London, UK
  2. 2Haematology, Chelsea and Westminster Healthcare NHS Trust, London, UK
  3. 3Haemato-Oncology, Barts Health NHS Trust, London, UK
  1. Correspondence to Dr Katrin Alizadeh; katrin.alizadeh{at}nhs.net

Abstract

A 61-year-old woman who had tested positive for COVID-19 in the community 5 days prior to admission presented with new onset severe headache and mild shortness of breath. She had an acute reduction in her platelet counts from 153×10⁹/L to 5×10⁹/L. She was diagnosed with immune thrombocytopenia purpura and after treatment with intravenous immunoglobulin, her platelet count increased to 15×10⁹/L. Due to nonresolving headache, she had a magnetic resonance venogram, which showed bilateral internal jugular vein thrombosis. She was discharged from hospital and followed up in Haematology and Neurology clinics. Her platelet count returned to normal range 7 days later. She was commenced on anticoagulation for thrombosis.

  • COVID-19
  • haematology (incl blood transfusion)
  • thrombotic thrombocytopenic purpura

This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

https://doi.org/10.1136/bcr-2021-243680

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    Footnotes

    • Twitter @Katrin Alizadeh

    • Contributors DB and KA identified the interesting aspects of the case and looked after the patient. DB, KA and SH studied the case, performed the literature review and drafted the manuscript. KA and SH were responsible for overall supervision of the project. All the authors contributed to, read and agreed to this submission.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.