Renal abscess with Morganella morganii complicating leukemoid reaction.
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.
Osanai
Shinobu
S
Division of Respiratory Medicine, Department of Medicine, Asahikawa Medical College, Hokkaido. shinobuo@asahikawa-med.ac.jp
Nakata
Hiroaki
H
Ishida
Kensuke
K
Hiramatsu
Mie
M
Toyoshima
Eri
E
Ogasa
Toshiyuki
T
Ohsaki
Yoshinobu
Y
Kikuchi
Kenjiro
K
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
D002097:C-Reactive Protein