Medical Case Details:
A 36 year old male presented with a sore throat and mild flu. The temperature was 103 F, and he had extreme weakness. I prescribed the patient Azomax 500 mg OD, and after six hours he had an episode of nasal bleed from both nostrils. It was fresh blood, and there were some clots as well. A severe headache was accompanied with the bleeding.Discussions
Dr. Muhammad Munaim Tahir
General Practitioner
Azithromycin doesn't have any side effect related to nasal bleed or thrombocytopenia.
However the features you are describing here, can indicate any ongoing viral hemorrhagic fever, dengue etc.
Headache, nasal bleed, high grade fever can be its symptoms.
I would recommend getting a complete blood count done for this patient.
General Practitioner
Azithromycin doesn't have any side effect related to nasal bleed or thrombocytopenia.
However the features you are describing here, can indicate any ongoing viral hemorrhagic fever, dengue etc.
Headache, nasal bleed, high grade fever can be its symptoms.
I would recommend getting a complete blood count done for this patient.
▲ 1
27.Sep, 10:51am
Dr. Manishit Singh
General Practitioner
Dengue ELISA test and Chikungunya ELISA test recommended, check platelets and pcv levels
General Practitioner
Dengue ELISA test and Chikungunya ELISA test recommended, check platelets and pcv levels
27.Sep, 10:59am
Dr. Shafi Ullah
Family Physician
Azithromycin does not cause nose bleed. However patient had sore throat there might be some local cause like inflammation or some other etiology leading to epistaxis which is very common in any Airways. However patient should definitely be evaluated for bleeding diathesis as it's a seasonal variation if a patient is from Malaria endemic area get his work done for Malaria dengue hemorrhagic fever, Congo virus and other platelet function disorders. Get PT INR done to rule out clotting factor disease. First thing first, do his platelet counts. If bleeding diathesis normal then its local epistaxis and common in inflammatory diseases of airways. Do both NS1 antigen and igG igM for dengue as well. Peripheral smear would be better than simple blood count.
Family Physician
Azithromycin does not cause nose bleed. However patient had sore throat there might be some local cause like inflammation or some other etiology leading to epistaxis which is very common in any Airways. However patient should definitely be evaluated for bleeding diathesis as it's a seasonal variation if a patient is from Malaria endemic area get his work done for Malaria dengue hemorrhagic fever, Congo virus and other platelet function disorders. Get PT INR done to rule out clotting factor disease. First thing first, do his platelet counts. If bleeding diathesis normal then its local epistaxis and common in inflammatory diseases of airways. Do both NS1 antigen and igG igM for dengue as well. Peripheral smear would be better than simple blood count.
▲ 3
27.Sep, 11:00am
Dr. Taranbir Singh
Family Physician
Wt abt BP..... if its ok.... go for other tests for viral or vector born diseases
Family Physician
Wt abt BP..... if its ok.... go for other tests for viral or vector born diseases
▲ 1
27.Sep, 06:20pm
Dr. Udaya Nath Sahoo
General Practitioner
Hi,
Thanks for your post on icliniq and as per detailed history is concerned medication has no side effect for bleeding at all so do check her [Blood pressure,CBC and do one CT scan ]exact source of bleeding is important .[Thanks]
General Practitioner
Hi,
Thanks for your post on icliniq and as per detailed history is concerned medication has no side effect for bleeding at all so do check her [Blood pressure,CBC and do one CT scan ]exact source of bleeding is important .[Thanks]
▲ 1
27.Sep, 07:05pm
Dr. Vinod Kumar Gupta
Ayurveda Specialist
Hi dear if the patient took medicine empty stomach, it caused severe headache and might had raised blood pressure, leading to epistaxis. the patient must take sufficient water alongwith.
Ayurveda Specialist
Hi dear if the patient took medicine empty stomach, it caused severe headache and might had raised blood pressure, leading to epistaxis. the patient must take sufficient water alongwith.
27.Sep, 10:05pm
Dr. Dipak Sopan Patade
General Practitioner
Also need to rule out any history of nasal decongestants used which might have caused sudden rise in blood pressure leading to epistaxis ...
General Practitioner
Also need to rule out any history of nasal decongestants used which might have caused sudden rise in blood pressure leading to epistaxis ...
29.Sep, 08:06am
Dr. Abid Saeed
Family Physician
It is highly unlikely that mentioned drugs could be the sole reason of nasal bleed.Viral infections leading to low platelets and subsequent nasal bleed is strong possibility.High grade fever with flu can cause local inflammation of nose and as Little area of nose has poor support for blood vessels and can bleed easily is other possibility.
Family Physician
It is highly unlikely that mentioned drugs could be the sole reason of nasal bleed.Viral infections leading to low platelets and subsequent nasal bleed is strong possibility.High grade fever with flu can cause local inflammation of nose and as Little area of nose has poor support for blood vessels and can bleed easily is other possibility.
01.Oct, 02:32pm
Dr. Amiya Kumar Chattopadhyay
Cardiologist
It is unlikely due to azithromycin.
U check CBC and Dengue NS1,IgG,IgM.
Cardiologist
It is unlikely due to azithromycin.
U check CBC and Dengue NS1,IgG,IgM.
10.Oct, 08:14pm
Dr. Aurangzebl Afzal
Nephrologist
NS1 for dengue
CBC
Check hematocrit
AST
PT/APTT
Check nostrils for any structural problem
Need hospitalization
Nephrologist
NS1 for dengue
CBC
Check hematocrit
AST
PT/APTT
Check nostrils for any structural problem
Need hospitalization
15.Oct, 10:40am
Youness Tanani
Psychologist Counselor
Azithromycin can cause nasal bleed and mild headache, Pfizer Confirmed these side effects
Psychologist Counselor
Azithromycin can cause nasal bleed and mild headache, Pfizer Confirmed these side effects
31.Oct, 07:46am
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