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A Patient with Neutropenia and Splenomegaly: A Case Report from Department of Family Medicine in Tertiary Hospital Center

Authors
 Jaehee Cho  ;  Youhyun Song  ;  Jiyeon Lee  ;  Daeun Lee  ;  Yunsun Go  ;  Hee Cheol Kang 
Citation
 Korean Journal of Family Medicine(가정의학회지), Vol.42(3) : 250-254, 2021-05 
Journal Title
Korean Journal of Family Medicine(가정의학회지)
ISSN
 2005-6443 
Issue Date
2021-05
Keywords
Embolization, Therapeutic ; Hypersplenism ; Neutropenia ; Pancytopenia
Abstract
Pancytopenia represents a unique challenge for primary care doctors and its etiological causes encompass various specialties, including hematology and rheumatology. Despite the existence of effective tests such as bone marrow biopsy and immunoassays to rule out the potential causes of pancytopenia, it is often difficult to pinpoint the exact diagnosis. In this case report, we have described such a 'gray zone' patient, who presented with pancytopenia, neutropenia, and splenomegaly, and was being treated for fungal pneumonia before being transferred to Severance Hospital (department of family medicine). As the patient had a 10-year history of multiple, long-term hospital admissions that were having a severely debilitating impact on the quality of life, we performed a partial splenic embolization as a potential cure for the symptoms. Although this induced acute blood count recovery, it failed to prevent eventual mortality from septic shock.
Files in This Item:
T202102450.pdf Download
DOI
10.4082/kjfm.19.0130
Appears in Collections:
6. Others (기타) > Gangnam Severance Hospital Health Promotion Center(강남세브란스병원 체크업) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Family Medicine (가정의학교실) > 1. Journal Papers
Yonsei Authors
Kang, Hee Cheol(강희철) ORCID logo https://orcid.org/0000-0002-0309-7448
Song, Youhyun(송유현) ORCID logo https://orcid.org/0000-0001-5621-2107
Lee, Jee Yon(이지연)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/184175
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