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Case Reports
. 2024 Jun 7;12(6):e9048.
doi: 10.1002/ccr3.9048. eCollection 2024 Jun.

Chronic myelomonocytic leukemia primarily presenting as life-threatening pericardial effusion, Eldoret, Kenya: A case report

Victor M Wauye  1 , Evangeline Njiru  1 , Angela K Amadi  1 , Mildred N Hagembe  2 , Gabriel Kigen  3
Affiliations
Case Reports

Chronic myelomonocytic leukemia primarily presenting as life-threatening pericardial effusion, Eldoret, Kenya: A case report

Victor M Wauye et al. Clin Case Rep. .

Abstract

Key clinical message: Chronic myelomonocytic leukemia, a rare case of hematological malignancy mainly affects the elderly and may present with life threatening pericardial effusion as an initial manifestation. High index of suspicion is hence key for early management.

Abstract: We present a case of an 81-year-old African male who presented with progressive cough, respiratory distress and bilateral lower limb swelling, and was diagnosed with life-threatening pericardial effusion resulting from chronic myelomonocytic leukemia following complete blood count, peripheral blood film, bone marrow aspirate with trephine biopsy, and flow cytometry studies.

Keywords: ascites; chronic myelomonocytic leukemia; heart failure; pericardial effusion; pleural effusion.

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Figures

FIGURE 1
FIGURE 1
ECG image showing low voltage QRS complexes and electrical alternans.
FIGURE 2
FIGURE 2
Chest/abdominal CT scan images showing pleural effusion (A), pericardial effusion (B), and ascites (C) pointed with the arrows.
See this image and copyright information in PMC

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