Department of Laboratory Medicine, Affiliated Haikou Hospital of Xiangya Medical College, Central South University, Haikou, Hainan Province, China.
Department of Neurosurgery, Affiliated Haikou Hospital of Xiangya Medical College, Central South University, Haikou, Hainan Province, China.
J Int Med Res. 2022 Feb;50(2):3000605221079102. doi: 10.1177/03000605221079102.
Bacteria-induced thrombocytopenia is a common clinical disease that is often ignored by clinical and scientific research. Thus, exploring the mechanism and principle of bacteria-induced thrombocytopenia could facilitate the development of new diagnostic, preventative, and treatment modalities for thrombocytopenia. This case report describes a case of platelet phagocytosis by neutrophils and monocytes in a patient with cerebral hemorrhage and thrombocytopenia caused by gram-negative bacterial infection. After the infection was eradicated, platelet phagocytosis was alleviated, and his platelet count normalized. Cellular immunity may be an important cause of bacteria-induced thrombocytopenia in patients with cerebral hemorrhage.
细菌诱导的血小板减少症是一种常见的临床疾病,常被临床和科研所忽视。因此,探索细菌诱导的血小板减少症的机制和原理,可以促进血小板减少症新的诊断、预防和治疗方法的发展。本病例报告描述了一例因革兰氏阴性细菌感染导致脑出血和血小板减少症的患者中性粒细胞和单核细胞吞噬血小板的病例。感染清除后,血小板吞噬作用减轻,血小板计数恢复正常。细胞免疫可能是脑出血患者细菌诱导的血小板减少症的一个重要原因。