# Tirofiban-Induced Profound Thrombocytopenia: A Case Report

**Authors:** Zeina Al Achkar, Robert Fakhoury, Osama F Zeindeen, Annoir Shayya

PMC · DOI: 10.7759/cureus.82117 · Cureus · 2025-04-11

## TL;DR

This case report describes a patient who developed severe low platelet count after receiving tirofiban, emphasizing the need for close monitoring.

## Contribution

The report highlights a rare but serious side effect of tirofiban and underscores the importance of frequent platelet monitoring.

## Key findings

- Tirofiban-induced profound thrombocytopenia occurred within 12 hours of administration.
- Frequent platelet count monitoring is crucial to detect and manage this complication early.

## Abstract

Platelet glycoprotein IIB/IIIA antagonists are potent inhibitors of platelet aggregation. Although the incidence of thrombocytopenia following their administration is relatively low, it can sometimes lead to fatal consequences. We report a case of a 57-year-old gentleman presenting with non-ST elevation myocardial infarction complicated with tirofiban-induced profound thrombocytopenia that developed within 12 hours of administration. Given the high risk of acute-onset thrombocytopenia following treatment with glycoprotein IIb/IIIa inhibitors, platelet count monitoring is highly encouraged at frequent intervals. This case highlights the importance of early detection and treatment of thrombocytopenia.

## Linked entities

- **Chemicals:** tirofiban (PubChem CID 60947)
- **Diseases:** thrombocytopenia (MONDO:0002049)

## Full-text entities

- **Diseases:** platelet aggregation (MESH:D001791), myocardial infarction (MESH:D009203), Thrombocytopenia (MESH:D013921)
- **Chemicals:** Platelet glycoprotein IIB/IIIA (-), Tirofiban (MESH:D000077466)

## Full text

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## Figures

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## References

17 references — full list in the complete paper: https://tomesphere.com/paper/PMC11994369/full.md

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Source: https://tomesphere.com/paper/PMC11994369