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Leukemoid reaction in a child with appendiceal abscess: a case report
1Department of Pediatrics, Taichung Veterans General Hospital, Taiwan, R.O.C.
Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|May 1, 1994
Summary
A rare case of appendiceal abscess in an infant presenting with a leukemoid reaction is described. This condition can mimic leukemia, posing a diagnostic challenge for clinicians.
Area of Science:
- Pediatric Surgery
- Hematology
Background:
- Appendiceal abscess is uncommon in infants.
- Leukemoid reactions are typically associated with severe infections or malignancies.
Observation:
- A seven-month-old infant presented with fever, diarrhea, and anemia.
- Progressive leukocytosis (WBC 178,000/cumm) with a left shift and elevated leukocyte alkaline phosphatase score was observed.
- A right lower quadrant abdominal mass was detected, diagnosed as an appendiceal abscess via imaging.
Findings:
- The infant's leukocytosis resolved after treatment for the appendiceal abscess.
- Successful management with triple antibiotic therapy (ampicillin, gentamicin, clindamycin) led to mass resolution.
Implications:
- This case highlights the importance of considering appendiceal abscess in infants with unexplained leukemoid reactions.
- Early diagnosis and prompt treatment are crucial for favorable outcomes in such rare pediatric presentations.