酷似暴发性眶周蜂窝织炎的急性髓细胞白血病。
Acute myelogenous leukemia mimicking fulminant periorbital cellulitis.
作者信息
Bagheri Abbas, Abrishami Alireza, Karimi Saeed
机构信息
Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Radiology, Kerman University of Medical Sciences, Kerman, Iran.
出版信息
J Ophthalmic Vis Res. 2013 Oct;8(4):380-2.
PURPOSE
To report a patient who was referred for orbital cellulitis but was finally diagnosed with acute leukemia.
CASE REPORT
A 17-year-old boy presented with fever, periorbital erythema and swelling mimicking periorbital cellulitis. He underwent empiric antibiotic therapy. Complete blood counts revealed leukocytosis with a predominance of immature blast cells. Bone marrow aspiration confirmed the diagnosis of acute myelogenous leukemia. Chemotherapy was initiated resulting in resolution of signs and symptoms.
CONCLUSION
Acute leukemia may mimic periorbital cellulitis and must be considered in the differential diagnosis.
目的
报告一名被转诊为眼眶蜂窝织炎但最终被诊断为急性白血病的患者。
病例报告
一名17岁男孩出现发热、眶周红斑和肿胀，类似眶周蜂窝织炎。他接受了经验性抗生素治疗。全血细胞计数显示白细胞增多，以未成熟的原始细胞为主。骨髓穿刺确诊为急性髓细胞白血病。开始化疗后，体征和症状得到缓解。
结论
急性白血病可能类似眶周蜂窝织炎，在鉴别诊断中必须予以考虑。
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