Atypical Presentation of Acute Myeloid Leukemia

摘要: We present a case of 48-year-old male who presented with worsening pleuritic chest pain for 2 h. He also complained fever, malaise, headache and severe neck pain. Electrocardiogram (ECG) showed ST segment elevation in leads I, II, aVL V5 PR depression aVR. On admission, troponin-I was 14.8 ng/mL. Based on ECG changes, elevated troponin family history early coronary artery disease, the patient emergently taken to cardiac catheterization lab. Angiography non-obstructive coronaries, mild hypokinesis mid inferior anterolateral wall ejection fraction (EF) 40-45%. above presentation angiography findings, diagnosis acute myopericarditis made. started colchicine ibuprofen. The other workup determine etiology negative as shown below. Given pain, we became suspicious meningitis. Lumbar puncture performed which negative. day he found have blasts complete blood count peripheral smear. Bone marrow biopsy flow cytometry confirmed myeloid leukemia (AML). received induction salvage therapy. Repeat bone remission normal cytogenetics. Although pericardial or myocardial biopsies are unavailable our patient, absence causes, it does appear that his associated AML.