Pulmonary and Medullary Tuberculosis: An Uncommon Cause of Evans Syndrome in Adults

Halima Hadri; Hanane Delsa; Yasmine Zouiten; Mouna Khmou; Said Benchekroun

doi:10.7759/cureus.74378

Pulmonary and Medullary Tuberculosis: An Uncommon Cause of Evans Syndrome in Adults

Cureus. 2024 Nov 25;16(11):e74378. doi: 10.7759/cureus.74378. eCollection 2024 Nov.

Authors

Halima Hadri^{1

2}, Hanane Delsa^{3

4}, Yasmine Zouiten¹, Mouna Khmou⁵, Said Benchekroun¹

Affiliations

¹ Hematology, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health, Casablanca, MAR.
² Hematology and Oncology, Research Unit, Mohammed VI Center for Research and Innovation, Rabat, MAR.
³ Gastroenterology and Hepatology, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health, Casablanca, MAR.
⁴ Research Unit, Mohammed VI Center for Research and Innovation, Rabat, MAR.
⁵ Pathology, National Institute of Oncology, Rabat, MAR.

Abstract

Evans syndrome (ES) is a rare syndrome characterised by the association of autoimmune idiopathic hemolytic anemia (AIHA) with immune thrombocytopenia (ITP) and, less commonly, autoimmune neutropenia (AIN). ES may be primary or secondary to some aetiology, including, exceptionally, tuberculosis. We describe a case of association between pulmonary and medullary tuberculosis and Evans syndrome with an effective response to antitubercular treatment and corticosteroids.

Keywords: antitubercular treatment; corticosteroid; evans syndrome; pancytopenia; tuberculosis.

Publication types

Case Reports