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 journalArticlepeer-review

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

Keywords

  • Myelodysplastic syndrome
  • Myeloid sarcoma
  • Pulmonary complication
  • Tonsillectomy

ASJC Scopus subject areas

  • Hematology

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