UNUSUAL LEUKEMOID REACTION IN A COVID-19 PATIENT: A CASE REPORT

SA Tabassum; T Bibi; F Tariq; S Tariq; S Raza; MM Hafeez; MA Rana

doi:10.54112/bcsrj.v2020i1.34

Authors

SA Tabassum Department of Internal and Critical Care Medicine, Bahria International Hospital, Lahore, Pakistan
T Bibi Department of Internal and Critical Care Medicine, Bahria International Hospital, Lahore, Pakistan
F Tariq Department of Internal and Critical Care Medicine, Bahria International Hospital, Lahore, Pakistan
S Tariq Department of Internal and Critical Care Medicine, Bahria International Hospital, Lahore, Pakistan
S Raza Department of Internal and Critical Care Medicine, Bahria International Hospital, Lahore, Pakistan
MM Hafeez Department of Internal and Critical Care Medicine, Bahria International Hospital, Lahore, Pakistan Institute of Molecular Biology & Biotechnology, University of Lahore, Lahore, Pakistan
MA Rana Department of Internal and Critical Care Medicine, Bahria International Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2020i1.34

Keywords:

COVID 19, corona virus, viral pneumonia, leukemoid reaction, Myelodysplastic syndrome

Abstract

A leukemoid reaction is a hematological disorder in which the White Blood Cells (WBCs) count may rise more than 50,000 per micro liter (μL) accompanied by an increase in Neutrophil precursors. The incidence of this reaction is uncertain. This looks like blood cancer but it is caused by reasons outside bone marrow like severe infections, drug reactions, intoxication, ischemia, inflammation and stress. The WBCs count falls back to normal once this cause is eradicated so we present an unusual case of leukemoid reaction with very high WBCs in a COVID19 patient to create awareness among physicians dealing with such cases.

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