Intersecting Pathologies: Polycythemia Vera and Recurrent Infections in an Elderly Patient
Year: 2025
Type: article
Study design: Case Report
Abstract: This case report highlights the diagnostic and therapeutic challenges encountered in the management of a 95-year-old female patient with polycythemia vera (PV) complicated by recurrent infections. The patient presented with significant leukocytosis, thrombocytosis, and concurrent infections, including a urinary tract infection and influenza B. PV, a myeloproliferative neoplasm, is characterized by increased production of red blood cells and often involves heightened activation of myeloid and megakaryocytic lineages, resulting in leukocytosis and thrombocytosis. These hematological abnormalities, coupled with underlying immune dysregulation, predispose patients to recurrent and severe infections. The patient's condition was further complicated by resistance to initial antibiotic therapy, necessitating adjustments in treatment. Despite resolving the infections, persistent leukocytosis raised concerns about the interplay between inflammatory, infectious, and neoplastic processes. This case underscores the complexities of managing patients with PV who exhibit overlapping hematological abnormalities and recurrent infections. It emphasizes the need for a multidisciplinary approach involving hematologists and infectious disease specialists to optimize care. The report also discusses the importance of preventive strategies, such as vaccinations, in reducing the risk of infections in high-risk populations, particularly those with myeloproliferative disorders.
Source: Cureus
DOI: 10.7759/cureus.80029
Authors: Prince Saha, Emre Sahin, Nirupam Nadella, Adil M Siddiqui, Lokesh Edara
Language: English
Subfield: Genetics
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4408149137