[The 464th case: sudden convulsion and coma in a patient with acute leukemia].

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.

• Authors: Y Liu, X J Huang, H Jiang, Y Zhu, X H Zhou, L Z Gong
• Journal: Zhonghua nei ke za zhi (Zhonghua Nei Ke Za Zhi) Vol. 57 Issue 7 Pg. 539-541 (Jul 01 2018) ISSN: 0578-1426 [Print] China
• PMID: 29996279 (Publication Type: Case Reports, Journal Article)

Topics

• Acute Disease
• Addison Disease (diagnosis)
• Brain Edema (diagnosis)
• Coma (etiology)
• Female
• Humans
• Hyponatremia (diagnosis)
• Intensive Care Units
• Leukemia, Myeloid, Acute (diagnosis)
• Middle Aged
• Seizures (etiology)