This is a case series of 5 patients who were admitted in a tertiary care centre, in South India, over the period of two years with oleander seed poisoning, who during the course in the hospital developed significant thrombocytopenia. In all the cases, thrombocytopenia occurred suddenly, within days of presentation and was rapidly deteriorating in nature. Hence enough monitoring is required from the part of treating physician to prevent severe bleeding manifestation. Even though thrombocytopenia is very rare, more studies have to be conducted in this matter.

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Dr Kaverikannan MD

Associate professor, Department of General Medicine, Kanyakumari Government Medical College and Hospital, Asaripallam, Tamil Nadu