FIGURE 1.
FIGURE 2.
FIGURE 3.
Laboratory findings at admission
| WBC | 2,100/μl | T-Bil | 3.0 U/L | pH | 7.21 |
| Seg | 28% | AST | 1,440 U/L | PaCO2 | 19 mmHg |
| Band | 8.0% | ALT | 1,391 U/L | PaO2 | 169 mmHg |
| Lymph | 58% | LDH | 2,076 U/L | HCO3− | 7.9 mmol/L |
| Mono | 2.5% | ALP | 276 U/L | Lactate | 140 mg/dL |
| Blast | 1.0% | GGT | 41 U/L | ||
| Hb | 8.0 g/dl | BUN | 57.5 mg/dl | ||
| Plt | 8.2 × 104/μl | Cr | 2.9 mg/dl | ||
| APTT | 34.2 s | Na | 142 mEq/L | ||
| PT-INR | 1.98 | K | 5.2 mEq/L | ||
| D-dimer | 8.9 μg/dl | CRP | 5.09 mg/dlL | ||
| CK | 166 U/L | ||||
| CK-MB | 106 U/L | ||||
| TropT | 0.08 ng/ml | ||||
| BNP | 153 pg/ml |
Reported cases of myeloid sarcoma with MDS
| Author, year | Base disease | Age/Sex | Symptom | Clinical findings | Treatment | Pericardiocentesis | Outcome |
|---|---|---|---|---|---|---|---|
| Mateen et al., 20066 | MDS, RAEB | 64/F | Dyspnea | Ejection fraction decrease Pericardial effusion | Blood transfusion | NA | Died |
| Matkowskyj et al., 20105 | t-MDS, RAEB | 59/M | Dyspnea | Acute heart failure Pericardial tamponade | Diuretic Intravenous dobutamine Pericardial drainage | No appearance of blasts | Died |
| Present case, 2020 | MDS | 80/M | Loss of consciousness | Pericardial tamponade | Pericardial drainage | Higher blasts ratio compared to peripheral blood | Died |