title: A new diagnosis of acute myeloid leukaemia complicated by peripancreatic tuberculous lymphadenitis.
abstract: A 29-year-old woman presented with neutropenic sepsis and was found to have a new diagnosis of acute myeloid leukaemia. Following initiation of induction chemotherapy the patient became increasingly unwell with ongoing sepsis despite broad-spectrum antibiotic treatment. An extensive septic screen failed to identify a source, other than the finding of a peripancreatic mass on imaging. Following the introduction of antituberculous treatment the patient showed signs of clinical improvement and a subsequent biopsy confirmed the mass to be tuberculous lymphadenitis. The patient completed three cycles of combination chemotherapy achieving a complete remission and also successfully completed 12 months of antituberculous treatment.
authors.affiliation: Lewisham University Hospital, London, UK.
authors.forename: Patrick
authors.initials: P
authors.lastname: Harrington
authors.affiliation: Department of Haematology, Lewisham University Hospital, London, UK.
authors.forename: Tullie
authors.initials: T
authors.lastname: Yeghen
mesh_terms: D000328:Adult; D000970:Antineoplastic Agents / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D009503:Neutropenia / Q000209:etiology; D010179:Pancreas; D018805:Sepsis / Q000188:drug therapy / Q000382:microbiology*; D014388:Tuberculosis, Lymph Node / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000970:Antineoplastic Agents; D000995:Antitubercular Agents