Post-tonsillectomy pulmonary complication in a patient with tonsillar myeloid sarcoma

Chia Chi Cheng, Shir Hwa Ueng, Hseuh Yu Li, Huan Wu Chen, Tsung Ming Chen, Li Ang Lee, Chung Jan Kang, Ying Ling Kuo, Hao Chun Huang, Han Ren Hsiao, Tuan Jen Fang

研究成果: 雜誌貢獻文章同行評審

3 引文 斯高帕斯(Scopus)

摘要

Myeloid sarcoma in a patient with myelodysplastic syndrome (MDS) manifesting as a non-healing tonsillar ulcer is an extremely rare occurrence. We report the case of a 57-year-old male smoker with a non-healing tonsillar ulcer who underwent tonsillectomy to rule out tonsillar carcinoma after failed antibiotic therapy. On postoperative day 2, he presented with a temperature of 40°C and white blood cell count of 34700/μL. Antibiotic therapy was begun; however, he died 1 day later due to pulmonary infection and septic shock. Though extremely rare, tonsillar involvement of MDS should be considered in the differential diagnosis of a non-healing tonsillar lesion. When definitive diagnosis requires a tissue sample, punch biopsy may be preferable to tonsillectomy in a patient who may be immunocompromised, and appropriate prophylactic antibiotics should be administered.

原文英語
頁(從 - 到)220-223
頁數4
期刊International Journal of Hematology
93
發行號2
DOIs
出版狀態已發佈 - 2月 2011

ASJC Scopus subject areas

  • 血液學

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