Tirofiban-Induced Profound Thrombocytopenia: A Case Report

Platelet glycoprotein IIB/IIIA antagonists are potent inhibitors of platelet aggregation. Although the incidence of thrombocytopenia following their administration is relatively low, it can sometimes lead to fatal consequences. We report a case of a 57-year-old gentleman presenting with non-ST elevation myocardial infarction complicated with tirofiban-induced profound thrombocytopenia that developed within 12 hours of administration. Given the high risk of acute-onset thrombocytopenia following treatment with glycoprotein IIb/IIIa inhibitors, platelet count monitoring is highly encouraged at frequent intervals. This case highlights the importance of early detection and treatment of thrombocytopenia.

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Publication Details

Journal
Cureus
Published
2025-04-11
DOI
https://doi.org/10.7759/cureus.82117
Primary Topic
Heparin-Induced Thrombocytopenia and Thrombosis
Type
article
Field-Weighted Citation Impact
0.00
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article

Tirofiban-Induced Profound Thrombocytopenia: A Case Report

Annoir Shayya, Robert Fakhoury, Zeina Al Achkar, Osama F Zeindeen
Cureus
Heparin-Induced Thrombocytopenia and Thrombosis
article

Tirofiban-Induced Profound Thrombocytopenia: A Case Report

Annoir Shayya, Robert Fakhoury, Zeina Al Achkar, Osama F Zeindeen
article en

Abstract

Platelet glycoprotein IIB/IIIA antagonists are potent inhibitors of platelet aggregation. Although the incidence of thrombocytopenia following their administration is relatively low, it can sometimes lead to fatal consequences. We report a case of a 57-year-old gentleman presenting with non-ST elevation myocardial infarction complicated with tirofiban-induced profound thrombocytopenia that developed within 12 hours of administration. Given the high risk of acute-onset thrombocytopenia following treatment with glycoprotein IIb/IIIa inhibitors, platelet count monitoring is highly encouraged at frequent intervals. This case highlights the importance of early detection and treatment of thrombocytopenia.

CureusVol. 17(4)
University Medical Center Rizk Hospital (LB), American University of Beirut Medical Center (LB), Lebanese American University (LB)
Openalex Percentile: Top 87%
Heparin-Induced Thrombocytopenia and Thrombosis
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