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Case Records of the Massachusetts General Hospital
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Volume 361:1099-1106 September 10, 2009 Number 11
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Case 28-2009 — A 68-Year-Old Man with Fatigue, Cough, and Peripheral-Blood Monocytosis
Bimalangshu R. Dey, M.D., Ph.D., Thomas R. Spitzer, M.D., and Robert P. Hasserjian, M.D.

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Presentation of Case

Dr. Alfred Ian Lee (Oncology): A 68-year-old man was seen in the cancer center of this hospital because of fatigue, cough, and peripheral-blood monocytosis.

The patient had been well until approximately 7 weeks earlier, when fatigue and cough developed, followed by burning on urination and suprapubic discomfort. Approximately 3 weeks before evaluation at this hospital, he saw his primary care provider. Laboratory-test results are shown in Table 1. Trimethoprim–sulfamethoxazole was prescribed for a presumptive diagnosis of prostatitis. Culture of a urine specimen reportedly grew Escherichia coli.

View this table:



  		Table 1. Laboratory Data.

 
Six days later (17 days before evaluation at this hospital), . . . [Full Text of this Article]

Pathological Discussion

Discussion of Management

Prognostic Factors in AML

Treatment of AML in the Elderly

Stem-Cell Transplantation for AML in the Elderly

Treatment of Relapsed AML

Anatomical Diagnosis


Source Information

From the Hematology–Oncology Unit (B.R.D., T.R.S.) and the Department of Pathology (R.P.H.), Massachusetts General Hospital; and the Departments of Medicine (B.R.D., T.R.S.) and Pathology (R.P.H.), Harvard Medical School.



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