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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 331:1703-1710 December 22, 1994 Number 25
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Case 45-1994— A 47-Year-Old Man with Inguinal Lymphadenopathy and Fever during Preparation for a Bone Marrow Transplant
Robert W. Finberg, and Anthony R. Mattia

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Presentation of Case

A 47-year-old man with relapsed acute myelogenous leukemia was admitted to the hospital for an allogeneic bone marrow transplantation.

The patient had been well until 13 months earlier, when lymphadenopathy developed abruptly and he received a diagnosis of acute myelogenous leukemia, subtype M2 according to the French-American-British classification. He underwent induction chemotherapy with idarubicin and cytarabine. Because of persistent evidence of leukemia in a bone marrow specimen obtained on day 14 he received a second course of the same agents. Complications of chemotherapy included a dental abscess, streptococcal bacteremia, an intestinal helminthic infestation, and oral mucositis due to herpes simplex . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Robert W. Finberg's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References




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