Document Detail

Pelger-Huët anomaly mimicking 'shift to the left'.
MedLine Citation:
PMID:  8377874     Owner:  NLM     Status:  MEDLINE    
A case report is presented of an 83-year-old male patient with respiratory distress, body temperature of 38.5 degrees C, bilateral white infiltrates on chest X-ray and ECG showing acute myocardial infarction. Clinical evaluation led to the suspicion of severe infection accompanying lung congestion due to the infarction, mostly because his white blood cell differential count showed a persistent severe 'shift to the left'. Re-examination of his blood smear showed that the 'shift to the left' did not consist of band forms but of a 'Pelger-Huet' anomaly of the granulocytes. Recognition of this anomaly in the light of rapid clinical and radiological improvement precluded the administration of antibiotics for the diagnosis of severe infection with pulmonary involvement, which responded to diuretic therapy alone.
H Shmuely; S D Pitlik; A Inbal; J B Rosenfeld
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Netherlands journal of medicine     Volume:  42     ISSN:  0300-2977     ISO Abbreviation:  Neth J Med     Publication Date:  1993 Jun 
Date Detail:
Created Date:  1993-10-21     Completed Date:  1993-10-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0356133     Medline TA:  Neth J Med     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  168-70     Citation Subset:  IM    
Department of Internal Medicine, Beilinson Medical Center, Petah Tikva, Israel.
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MeSH Terms
Aged, 80 and over
Bronchopneumonia / blood
Diagnosis, Differential
Diagnostic Errors
Diuretics / therapeutic use
Dyspnea / drug therapy,  etiology*
Infection / blood
Leukocyte Count
Myocardial Infarction / complications*
Pelger-Huet Anomaly / blood*,  complications,  diagnosis
Reg. No./Substance:

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