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Acta Médica Costarricense

On-line version ISSN 0001-6002Print version ISSN 0001-6012


QUINTANA-QUIROS, Orlando; VALERIO-GIL, Lilem  and  RODRIGUEZ-PALMA, Fabián. Asymptomatic Inmune Thrombocytopenia associated with COVID-19. Acta méd. costarric [online]. 2021, vol.63, n.4, pp.229-234. ISSN 0001-6002.

The SARS-CoV-2 virus is a disease that produces multiple clinical manifestations. Abnormal hematologic findings, such as thrombocytopenia, have emerged as a complication of COVID-19.

Worldwide, series of cases of association between the SARS-CoV-2 virus and immune thrombocytopenia have been described; however, reported to date, it is the first case published in Costa Rica.

This clinical report describes the case of an elderly female admitted in the Centro Especializado para la Atención de pacientes COVID-19, one of the hospitals of the Caja Costarricense de Seguro Social. She was admitted with severe COVID-19, and during her hospital stay, she developed asymptomatic acute thrombocytopenia. The diagnosis of immune thrombocytopenia was made after excluding other diagnoses causing this sign. In addition of the protocolized management of COVID-19 with steroids and enoxaparin, she was treated with an additional cycle of dexamethasone and a dose of intravenous immunoglobulin. After this, she showed a complete recovery of the platelet count.

Keywords : COVID-19; SARS-CoV-2; Thrombocytopenia; Thrombocytopenic purpura.

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