Presentation A 44-year-old male was admitted with upper gastrointestinal (GI) bleeding to the intensive care unit (ICU). H/O patient He has a past medical history (PMH) of HIV/AIDS, non-compliant with his Highly Active Antiretroviral Therapy (HAART), Pathological Findings Hemoglobin (Hb): 5.9 mg/dL Platelet count: 1/mm3 Initial treatment He was transfused with 2 units of packed red blood cells (2 U PRBC). His platelet count came back as 1/mm3. Further, He was transfused with 10 units of platelets with little effect. Platelet count increased to 4/mm3.
There were petechiae on the soft palate but no other evidence of bleeding. Other observations No GI specialist was willing to do an esophagogastroduodenoscopy (EGD) with such a low platelet count. Luckily the bleeding stopped on its own. He gradually developed oral petechiae and mild mucosal bleeding. Diagnosis The…
