一个患有多细胞血病的患者的非传染性瘤中性病
Ritika Mazumder1, Arjun Chatterjee1, William Carey2
1Department of Internal Medicine, Cleveland Clinic, Cleveland, OH.
ACG case reports journal
|May 24, 2024
概括
多细胞血症可导致错误的多态核细胞 (PMN) 数量升高,模仿感染. 这一案例突出显示了omental extramedullary血型形成作为经常性无症状PMN升高的原因.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 血液学 血液学 血液学
- 病理学 病理学 病理学
背景情况:
- 门高血压是二次的多细胞血常常需要管理的并发症,如自发的细菌周周炎.
- 复发性自发性细菌性腹膜炎的诊断和管理可能具有挑战性,特别是在患有慢性白细胞病的患者中.
研究的目的:
- 描述一种罕见的,呈现为无症状,复发性自发性细菌周周炎的门外外肌膜造血症.
- 区分真实感染和外母细胞造血在患有真多细胞血症和高多态核细胞计数的患者.
主要方法:
- 一个59岁的女性患有多细胞血和门高血压的病例报告.
- 在抗生素治疗之前和之后分析体检结果,包括多态核核核 (PMN) 计数.
- 多学科团队审查以确定持续PMN升高的病因.
主要成果:
- 根据PMN数量升高,该患者呈现无症状,复发性自发性细菌腹膜炎.
- 尽管接受了抗生素治疗,但PMN数量仍然持续升高.
- 诊断出口外骨髓性血液形成是PMN数量升高的原因,与细菌感染无关.
结论:
- 口腔外骨髓性血液形成是一种罕见的疾病,可以在患有真菌多细胞血症的患者中模仿自发的细菌周周周炎.
- 在没有临床症状或阳性培养的情况下,PMN计数的持续升高应该促使考虑外骨髓造血.
- 准确的诊断至关重要,以避免不必要的抗生素治疗,并有效地管理潜在疾病.
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