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巨细胞病毒(CMV)感染继发血小板减少性紫癜(CTP)较少见,我院曾遇1例反复误诊为CTP 2年,最后确诊为CMV感染。现报告如下。患儿男,2岁6个月,自出生后4个月开始发热、腹泻10余天,继之发现全身皮肤紫癜,当时入院查血小板78×10~9/L,血培养阴性。此后患儿反复出现皮肤紫癜,血小板波动在51～98×10~9/L。共四次骨髓穿刺检查均为有核细胞增生明显活跃,未见巨核细胞,偶见血小板。拟诊为TP。近2个月来病情复发,血
Cytomegalovirus (CMV) infection secondary thrombocytopenic purpura (CTP) is rare, our hospital had a case of repeated misdiagnosis as CTP 2 years, the final diagnosis of CMV infection. The report is as follows. Children aged 2 years and 6 months, 4 months after birth, fever, diarrhea more than 10 days, followed by the discovery of systemic purpura, was admitted to the hospital check the platelet 78 × 10 ~ 9 / L, blood culture negative. Since then, children with recurrent skin purpura, platelet fluctuations in 51 ~ 98 × 10 ~ 9 / L. A total of four bone marrow biopsy were significantly elevated nucleated cells, no megakaryocytes, occasional platelets. To be diagnosed as TP. Nearly two months the disease recurrence, blood