The 464th case: sudden convulsion and coma in a patient with acute leukemia
10.3760/cma.j.issn.0578-1426.2018.07.017
- VernacularTitle:第464例——急性白血病,突发抽搐伴昏迷
- Author:
Yang LIU
1
;
Xiaojun HUANG
;
Hao JIANG
;
Yu ZHU
;
Xianghai ZHOU
;
Lizhong GONG
Author Information
1. 100044,北京大学人民医院血液科北京大学血液病研究所
- Keywords:
Mixed phenotype acute leukemia;
Disturbance of consciousness
- From:
Chinese Journal of Internal Medicine
2018;57(7):539-541
- CountryChina
- Language:Chinese
-
Abstract:
A 46-year-old female patient was diagnosed as mixed phenotype acute leukemia with chief complaints of intermittent gingival swelling and bleeding for 1 week. The induction chemotherapy was not effective. During the second course chemotherapy, the patient had sudden convulsion and coma. She was transferred to the intensive care unit with worsened condition after transient improvement. Her final diagnosis was secondary adrenocortical insufficiency, adrenal crisis, intractable hyponatremia and cerebral edema.
