Blast from the Past: Acute Myeloid Leukemia Presenting with Cardiac Tamponade.
R I Med J (2013)
; 107(7): 7-9, 2024 Jul 01.
Article
em En
| MEDLINE
| ID: mdl-38917306
ABSTRACT
Acute Myeloid Leukemia (AML) is a life-threatening illness that requires prompt diagnosis and often immediate treatment. It can present in a variety of manners but most commonly is associated with fevers, fatigue, shortness of breath, or infection. Extramedullary leukemia is a less common finding upon initial presentation, but includes dermatologic manifestations, including leukemia cutis, and rarely, large mass-like presentations known as myeloid sarcomas. While leukemic infiltration of organ systems is a well-described phenomenon, cardiac tamponade is a rare form of presentation. Herein we describe a 58-year-old man with a recent hospitalization for idiopathic cardiac tamponade who re-presented to the hospital with worsening dyspnea and fevers. He was found to have a recurrent pericardial effusion with features concerning for tamponade, as well as worsening thrombocytopenia and macrocytic anemia. Bone marrow biopsy revealed 24% myeloblasts, confirming the diagnosis of AML. Notably, his cardiac symptoms improved with treatment of his leukemia. To our knowledge, this is one of only a few cases of AML with cardiac tamponade as the initial presentation.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Tamponamento Cardíaco
/
Leucemia Mieloide Aguda
Limite:
Humans
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Male
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Middle aged
Idioma:
En
Revista:
R I Med J (2013)
Ano de publicação:
2024
Tipo de documento:
Article