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

**Authors:** Ann Pongsakul, Amy Daniel, Roddy Lochala, David E Martin

PMC · DOI: 10.7759/cureus.57284 · Cureus · 2024-03-30

## TL;DR

A patient developed a rare brain bleed after a viral infection led to a blood disorder called ITP, which causes dangerously low platelet levels.

## Contribution

This case report highlights a rare instance of ICH precipitated by a viral illness-induced ITP.

## Key findings

- ICH can occur as a complication of ITP triggered by a viral infection.
- Treatment of ITP is crucial in managing ICH in such cases.
- Viral illnesses can precipitate ITP, leading to severe bleeding events.

## Abstract

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.

## Linked entities

- **Diseases:** intracerebral hemorrhage (MONDO:0013792)

## Full-text entities

- **Diseases:** upper respiratory infection (MESH:D012141), ITP (MESH:D016553), ICH (MESH:D002543), bleeding (MESH:D006470), infections (MESH:D007239), Viral Illness (MESH:D014777), autoimmune disorders (MESH:D001327)
- **Chemicals:** steroids (MESH:D013256)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

17 references — full list in the complete paper: https://tomesphere.com/paper/PMC11058587/full.md

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Source: https://tomesphere.com/paper/PMC11058587