16-Year-Old Boy with Pancytopenia Suspected of Hematoblastic Malignancy Acute Lymphoblastic Leukemia and Hyperleukocytosis

Abstract

Lymphoblastic leukemia acute (ALL) is a cell malignancy? that occurs in blood cels in the bone marrow, which grow and become abnormal quickly. According to RISKESDAS 2023, the prevalence of cancer in aged 0-14 years amounted to 16,291 cases, and the type of most cancers? suffered by children in Indonesia were leukemia and retinoblastoma. This case report aimed to explain the paediatric case which is Acute Lymphoblastic Leukemia through descriptive studies by observation for one week in a paediatric ward. We reported a?-16-year-old-boy, with the chief complaint of difficulty of breathing. The complaint was accompanied by cough, vomiting, fluctuating fever, weakness, weight loss?, and a sore throat. The diagnosis is based on clinical symptoms, laboratory and other evaluations. Given therapy in the form of IVFD D51/4 NS/ asering 120cc/hour for 24 hours, TC transfusion 4 units at 12-hour intervals, omeprazole 2x40 mg injection, cefotaxime 3x1 gr injection, furosemide 2x20 mg injection, ketorolac 3x1/2 amp injection, ca gluconate 3x10cc injection, dexamethasone 3x10 mg injection, allopurinol 3x1 tablet, bicnat 3x2 tablet, NGT entramix diet 8x100cc. After following treatment for a week, the patient got improvement and will continue the treatment.