Coker Timothy J
Ehrling Bergquist Family Medicine Residency, Offutt AFB, Nebraska, USA.
BMJ Case Rep. 2013 Jan 17;2013:bcr2012007501. doi: 10.1136/bcr-2012-007501.
A 39-year-old woman with 1 day of oral petechiae, leg ecchymoses and epistaxis was found to have isolated thrombocytopenia. She had recently completed a 10-day course of moxifloxacin for an upper respiratory infection. On further questioning, she had developed thrombocytopenia 2 years earlier after a treatment course with moxifloxacin. After ruling out other causes, drug-induced immune thrombocytopenia due to moxifloxacin was diagnosed. Her platelets returned to normal range 15 days after finishing the medication.
一名39岁女性,出现口腔瘀点、腿部瘀斑和鼻出血1天,检查发现仅有血小板减少。她最近因上呼吸道感染完成了为期10天的莫西沙星治疗疗程。进一步询问得知,她2年前在接受莫西沙星治疗疗程后曾出现血小板减少。排除其他病因后,诊断为莫西沙星所致药物性免疫性血小板减少。停药15天后她的血小板恢复至正常范围。