research centers


Search results: Found 2

Listing 1 - 2 of 2
Sort by

Article
Significance of extreme leukocytosis in evaluation of febrile children aged 3–36 months: A single center experience

Authors: Sadek H. Ghani --- Nabeeha N. Akram --- Rabab H. Baaker
Journal: Iraq Joural of Hematology المجلة العراقية لامراض الدم ISSN: 20728069/25432702 Year: 2016 Volume: 5 Issue: 2 Pages: 167-172
Publisher: Al-Mustansyriah University الجامعة المستنصرية

Loading...
Loading...
Abstract

BACKGROUND: Emergency department evaluation of young febrile children often includes measurement ofwhite blood cell (WBC) count. Although a high WBC count is associated with an increased likelihood of infection,the clinical significance of extreme leukocytosis (EL) (a WBC count of ≥25,000/mm3), has not been well studied.OBJECTIVE: The aim of this study is to study the correlation between the level of WBC and the cause of feverin febrile children and to assess if WBC level helpful in predicting the seriousness of febrile illness.PATIENTS AND METHODS: A cross‑sectional case series study conducted over 5 months from August 01 toDecember 31, 2015, in the emergency department at child central teaching hospital in Baghdad city in Iraq. Thestudy was evaluating children aged 3–36 months admitted to the emergency department for fever. WBC countwas done either manually or a complete blood count by automated hematologic analyzer.RESULTS: Of those 129 febrile children were enrolled in this study, 42 patients with EL were identified andcompared with 87 patients with moderate leukocytosis (ML). Pneumonia was the only diagnosis found to besignificantly higher in EL group 17 cases (40.5%) versus 15 cases (17.2%) in ML group with P value (0.004).Meningitis was higher in patient with ML with P value (0.03). Finally, EL was associated with higher rates ofadmission to hospital (P < 0.036).CONCLUSIONS: The presence of EL indicates a higher risk of having pneumonia. The degree ofleukocytosis (extreme or moderate) does not affect the rates of serious bacterial infection.


Article
A case report of a young female with plasma cells leukemia

Authors: Nawshirwan Gafoor Rashid --- Sana Dlawar Jalal
Journal: Iraq Joural of Hematology المجلة العراقية لامراض الدم ISSN: 20728069/25432702 Year: 2017 Volume: 6 Issue: 2 Pages: 94-96
Publisher: Al-Mustansyriah University الجامعة المستنصرية

Loading...
Loading...
Abstract

Plasma cell leukemia (PCL) is a rare and aggressive variant of plasma cell dyscrasias that can occureither de novo (primary) or as a leukemic transformation of end‑stage multiple myeloma (MM). PCL isknown with a poor prognosis and with a different biologic background, clinical, and laboratory features.Primary PCL presents more often with extramedullary involvement, anemia, thrombocytopenia,hypercalcemia, elevated serum 2‑microglobulin, and lactate dehydrogenase levels, in addition toimpaired renal function in comparison with MM. Here, we report a case of a young female who wasadmitted with excessive thirst, polyuria, lower backache, fever, and weight loss over 2 months.Peripheral blood smear showed numerous atypical looking plasma cells, and immunophenotyping onbone marrow (BM) aspirate demonstrated the presence of clonal plasma cells. She was admitted toadult hematology ward in Hiwa Hemato‑Oncology Hospital, Sulaimani, Kurdistan, Iraq and receivedfour cycles of bortezomib, thalidomide, and dexamethasone chemotherapy, followed by two morecycles of dexamethasone, cyclophosphamide, etoposide, and cisplatin, and later, she proceeded toautologous BM transplantation. More details of the case are presented below.

Listing 1 - 2 of 2
Sort by
Narrow your search

Resource type

article (2)


Language

English (1)


Year
From To Submit

2017 (1)

2016 (1)