Post-tonsillectomy pulmonary complication in a patient with tonsillar myeloid sarcoma

Chia Chi Cheng, Shir Hwa Ueng, Hseuh Yu Li, Huan Wu Chen, Tsung-Ming Chen, Li Ang Lee, Chung Jan Kang, Ying Ling Kuo, Hao Chun Huang, Han Ren Hsiao, Tuan Jen Fang

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Myeloid sarcoma in a patient with myelodysplastic syndrome (MDS) manifesting as a non-healing tonsillar ulcer is an extremely rare occurrence. We report the case of a 57-year-old male smoker with a non-healing tonsillar ulcer who underwent tonsillectomy to rule out tonsillar carcinoma after failed antibiotic therapy. On postoperative day 2, he presented with a temperature of 40°C and white blood cell count of 34700/μL. Antibiotic therapy was begun; however, he died 1 day later due to pulmonary infection and septic shock. Though extremely rare, tonsillar involvement of MDS should be considered in the differential diagnosis of a non-healing tonsillar lesion. When definitive diagnosis requires a tissue sample, punch biopsy may be preferable to tonsillectomy in a patient who may be immunocompromised, and appropriate prophylactic antibiotics should be administered.

Original languageEnglish
Pages (from-to)220-223
Number of pages4
JournalInternational Journal of Hematology
Volume93
Issue number2
DOIs
Publication statusPublished - Feb 1 2011

Fingerprint

Myeloid Sarcoma
Tonsillectomy
Myelodysplastic Syndromes
Anti-Bacterial Agents
Lung
Ulcer
Septic Shock
Leukocyte Count
Differential Diagnosis
Carcinoma
Biopsy
Temperature
Therapeutics
Infection

Keywords

  • Myelodysplastic syndrome
  • Myeloid sarcoma
  • Pulmonary complication
  • Tonsillectomy

ASJC Scopus subject areas

  • Hematology

Cite this

Post-tonsillectomy pulmonary complication in a patient with tonsillar myeloid sarcoma. / Cheng, Chia Chi; Ueng, Shir Hwa; Li, Hseuh Yu; Chen, Huan Wu; Chen, Tsung-Ming; Lee, Li Ang; Kang, Chung Jan; Kuo, Ying Ling; Huang, Hao Chun; Hsiao, Han Ren; Fang, Tuan Jen.

In: International Journal of Hematology, Vol. 93, No. 2, 01.02.2011, p. 220-223.

Research output: Contribution to journalArticle

Cheng, CC, Ueng, SH, Li, HY, Chen, HW, Chen, T-M, Lee, LA, Kang, CJ, Kuo, YL, Huang, HC, Hsiao, HR & Fang, TJ 2011, 'Post-tonsillectomy pulmonary complication in a patient with tonsillar myeloid sarcoma', International Journal of Hematology, vol. 93, no. 2, pp. 220-223. https://doi.org/10.1007/s12185-010-0744-0
Cheng, Chia Chi ; Ueng, Shir Hwa ; Li, Hseuh Yu ; Chen, Huan Wu ; Chen, Tsung-Ming ; Lee, Li Ang ; Kang, Chung Jan ; Kuo, Ying Ling ; Huang, Hao Chun ; Hsiao, Han Ren ; Fang, Tuan Jen. / Post-tonsillectomy pulmonary complication in a patient with tonsillar myeloid sarcoma. In: International Journal of Hematology. 2011 ; Vol. 93, No. 2. pp. 220-223.
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