A Patient with Neutropenia and Splenomegaly: A Case Report from Department of Family Medicine in Tertiary Hospital Center

Pancytopenia represents a unique challenge for primary care doctors and its etiological causes encompass various specialties, including hematology and rheumatology. Despite the existence of effective tests such as bone marrow biopsy and immunoassays to rule out the potential causes of pancytopenia,...

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Bibliographic Details
Published inKorean journal of family medicine Vol. 42; no. 3; pp. 250 - 254
Main Authors Cho, Jaehee, Song, Youhyun, Lee, Jiyeon, Lee, Daeun, Go, Yunsun, Kang, Hee Cheol
Format Journal Article
LanguageEnglish
Published Korea (South) Korean Academy of Family Medicine 01.05.2021
대한가정의학회
Subjects
Case Report
가정의학
Embolization, Therapeutic
Hypersplenism
Pancytopenia
Neutropenia
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Summary:Pancytopenia represents a unique challenge for primary care doctors and its etiological causes encompass various specialties, including hematology and rheumatology. Despite the existence of effective tests such as bone marrow biopsy and immunoassays to rule out the potential causes of pancytopenia, it is often difficult to pinpoint the exact diagnosis. In this case report, we have described such a 'gray zone' patient, who presented with pancytopenia, neutropenia, and splenomegaly, and was being treated for fungal pneumonia before being transferred to Severance Hospital (department of family medicine). As the patient had a 10-year history of multiple, long-term hospital admissions that were having a severely debilitating impact on the quality of life, we performed a partial splenic embolization as a potential cure for the symptoms. Although this induced acute blood count recovery, it failed to prevent eventual mortality from septic shock.
ISSN:2005-6443
2092-6715
2092-6715
DOI:10.4082/kjfm.19.0130