The Lablogatory
people sent an
interesting case today.
“We were asked to review the peripheral blood
smear of an 18-year-old male who had presented to the emergency department with
shortness of breath and abdominal distension. His past medical history was
significant for numerous hospitalizations for recurrent fungal and bacterial
pneumonia, pulmonary abscesses, osteomyelitis, necrotizing granulomas, and
cervical lymphadenopathy requiring multiple lymphadenectomies. This history
dates back to when he was 3 months old”
It turned out
the patient had McLeod syndrome; a hereditary X-linked condition. The article
was very interesting and informative about the syndrome… I couldn’t help but
wonder why (given the medical history)
this hadn’t come to light earlier?
At the risk
of giving offence I wonder if this case happened in the USA where scrutiny of a
blood film might well have been an economy that had been made in the past?
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