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Severe thrombocytopenia and alveolar hemorrhage represent two types of bleeding tendency during tirofiban treatment: case report and literature review

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2012-09-01T00:00:00Z
Authors
Elcioglu, Omer Celal
Ozkok, Abdullah
Akpinar, Timur Selcuk
Tufan, Fatih
Sezer, Murat
Umman, Sabahattin
Besisik, Sevgi Kalayoglu
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Abstract
Tirofiban is a glycoprotein (GP) IIb/IIIa receptor antagonist used in the treatment of acute coronary syndrome (ACS). Thrombocytopenia is a well-known complication of GPIIb/IIIa inhibitors. Life-threatening complications such as alveolar and gastrointestinal system hemorrhages may occur in the course of thrombocytopenia. Platelet count should be monitored closely, including during the first few hours of the infusion. Adverse events may be prevented by prompt discontinuation of the therapy. Herein we present two cases of profound and sudden thrombocytopenia associated with tirofiban use in the treatment of ACS together with a review of the literature.
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Elcioglu O. C. , Ozkok A., Akpinar T. S. , Tufan F., Sezer M., Umman S., Besisik S. K. , -Severe thrombocytopenia and alveolar hemorrhage represent two types of bleeding tendency during tirofiban treatment: case report and literature review-, INTERNATIONAL JOURNAL OF HEMATOLOGY, cilt.96, ss.370-375, 2012
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