Abstract

MENDOZA PANTA, Diego Alexander; GOMEZ DE LA TORRE, Patricio Buendía  and  CUESTA MERO, Paola Lisette. Leucemia mieloide aguda en adulto mayor comórbido. A propósito de un caso. Rev Eug Esp [online]. 2019, vol.13, n.1, pp.53-61. ISSN 2661-6742.  https://doi.org/10.37135/ee.004.06.06.

It was presented a clinical case of a male patient of 81 years of age, with a 24-hour of secondary evolution to a fall. It was characterized by drowsiness, disorientation in person, time and space, urinary incontinence and difficulty in walking, that was why a simple skull tomography was performed, in which bilateral subdural hematomas were found. The patient presented episodes of recurrent bleeding and sustained leukocytosis. Peripheral blood smear showed 28% of blasts, so a bone marrow biopsy was performed, revealing a medullary karyotype compatible with acute myeloid leukemia. The patient was classified as palliative due to its clinical characteristics and evolution. The hematological pathology above was potentially fatal. If this one was not detected early, it would generate an accelerated unfavorable evolution, especially in the elderly comorbid, as occurred in the case presented.

Keywords : Acute Myeloid Leukemia; Elderly; Palliative Care.

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