title: Renal abscess with Morganella morganii complicating leukemoid reaction.
abstract: We report a case of leukemoid reaction (LR) complicating renal abscess caused by Morganella morganii infection in an 80-year-old man. On administration, laboratory tests revealed white blood cell count of 76160 /microL and C reactive protein 3.09 mg/dL. Although chronic myeloid leukemia was suspected, bcr/abl fusion transcript was not observed. Contrast enhanced computer tomography imaging of the abdomen showed abscess in the right kidney. M. morganii was detected repeatedly in material of liquid from the abscess and arterial blood culture. To our knowledge, this is the first case of M. morganii infection complicating LR.
authors.affiliation: Division of Respiratory Medicine, Department of Medicine, Asahikawa Medical College, Hokkaido. shinobuo@asahikawa-med.ac.jp
authors.forename: Shinobu
authors.initials: S
authors.lastname: Osanai
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Nakata
authors.forename: Kensuke
authors.initials: K
authors.lastname: Ishida
authors.forename: Mie
authors.initials: M
authors.lastname: Hiramatsu
authors.forename: Eri
authors.initials: E
authors.lastname: Toyoshima
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Ogasa
authors.forename: Yoshinobu
authors.initials: Y
authors.lastname: Ohsaki
authors.forename: Kenjiro
authors.initials: K
authors.lastname: Kikuchi
mesh_terms: D018784:Abdominal Abscess / Q000097:blood / Q000150:complications* / Q000000981:diagnostic imaging / Q000382:microbiology*; D000369:Aged, 80 and over; D002097:C-Reactive Protein; D006801:Humans; D007674:Kidney Diseases / Q000097:blood / Q000000981:diagnostic imaging / Q000382:microbiology*; D007955:Leukemoid Reaction / Q000097:blood / Q000382:microbiology*; D007958:Leukocyte Count; D008297:Male; D020613:Morganella morganii / Q000302:isolation & purification; D011859:Radiography
chemical_list: D002097:C-Reactive Protein