Clinical reasoning: a 69-year-old man with leukocytosis and hemorrhagic brain lesions.
case_report · Level V
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- Record sourced from PubMed, PMID 24982042.
- Also identified by DOI 10.1212/WNL.0000000000000542 and PMC identifier 4114178.
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Abstract
A 69-year-old man was admitted to our hospital with left upper quadrant pain, splenomegaly, acute renal failure, hyperuricemia, thrombocytopenia (platelet count 32,000/mm<sup>3</sup>), and leukocytosis (leukocyte count 88,000/mm<sup>3</sup>). His medical history was significant for prior diagnosis of myelodysplastic syndrome (MDS) by bone marrow biopsy at an outside institution treated with the hypomethylating chemotherapeutic agent decitabine, atrial fibrillation, cardiomyopathy, and complete pacemaker dependence. Neurologic examination upon admission was normal. The initial diagnostic considerations were tumor lysis syndrome from decitabine treatment vs transformation of MDS to acute myeloid leukemia (AML).
Medical subject headings
- Intracranial Hemorrhages
- Leukocytosis