Year: 2010
Type: article
Study design: Case Report
Abstract: Patient: A 45-year-old Caucasian female Chief Complaint: The patient reports feeling light-headed, fatigued, and short of breath with exertion. History of Present Illness: The patient was recently diagnosed with precursor B-cell acute lymphoblastic leukemia (ALL) and is now 4 weeks status post induction chemotherapy. Her original therapeutic course included prednisone, asparaginase, vincristine, and daunorubicin. She returned for a bone marrow evaluation prior to consolidation therapy. Prior to discharge the patient was prescribed Dapsone for Pneumocystis carinii pneumonia (PCP) prophylaxis, as previously documented intolerance prevented trimethoprim-sulfamethoxazole therapy. Her glucose-6-phosphate dehydrogenase (G6PD) level prior to chemotherapy initiation was normal. Several days prior to this scheduled visit, the patient felt light-headed, fatigued, and noted progressive shortness of breath with exertion. Subsequently, a complete blood count at her primary physician’s office showed a hemoglobin (HGB) of 8.5g/dL (normal: 12–16g/dL), and she was transfused 2 units of compatible RBCs. She denies fevers, chills, and night sweats.
Source: Laboratory Medicine
Authors: Avani Pendse, Yuri Fedoriw, Monte S. Willis
Institution: University of North Carolina at Chapel Hill
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2116973102