Case 3-1997

Presentation of CaseA 39-year-old man was admitted to the hospital because of acute leukemia.The patient had been well until four weeks earlier, when he began to have progressive malaise, fever, and lymphadenopathy. Epistaxis occurred and required cauterization. Two weeks before admission, the fever resolved, but the lymphadenopathy increased; his gums became painful and bled intermittently. Two days before admission, he lost central vision in the right eye. Hematologic tests were performed (Table 1). He was referred to this hospital.The patient was a computer specialist. There was no history of the use of tobacco, alcohol, or illicit drugs; . . .