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Cardiac tamponade complicating hyperleukocytosis in a child with leukemia

✍ Scribed by da Costa, Cecilia M.L.; de Camargo, Beatriz; y Lamelas, Raul Gutierrez; Salateo, Regiane; Hayashi, Massami; Gross, Jefferson Luiz; Santin, Julio Cesar; D'Angio, Giulio J.

Publisher
John Wiley and Sons
Year
1999
Tongue
English
Weight
94 KB
Volume
33
Category
Article
ISSN
0098-1532

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✦ Synopsis

The case to be discussed is a 2-year-old girl who presented with vomiting and fever. Blood count elsewhere showed WBC 112,000/mm 3 with 4% of blasts, Hb 9.2 g, and platelets 30,000/mm 3 . She was referred to us and physical examination revealed tachypnea, irritability, hepatomegaly, and splenomegaly. Blood count here reveal WBC 160,000 mm 3 with 89% of blasts, Hb 9.5, platelets 108,000, uric acid 10, and LDH 9,460 UL (normal range, 210-425 UL). Bone marrow aspiration confirmed myeloblastic leukemia FAB-M5.

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