CONCLUSION
Reactive thrombocytosis should always be considered in patients present
with severe iron deficiency anemia and infection.
This case showed that in the absence of iron supplements therapy, The
reactive thrombocytosis state for this patient improved quickly by only
treating the infection and the anemia.
The hemoglobin level and platelet count should be followed closely in
patients with reactive thrombocytosis to prevent fatal complications of
anemia. Iron studies and bone marrow biopsy are mandatory to rule out
any bone marrow malignancies and to reach the definitive diagnosis.