Abstract
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 A 65-year-old male hailing from Lolua, Tangail north bordering district of Dhaka, Bangladesh, reported to the Department of Hematology, Armed Forces Institute of Pathology with the complaints of marked weight loss, generalized weakness, low-grade fever and anorexia. He was referred from Kurmitola General Hospital, Dhaka, Bangladesh for bone marrow aspiration and examination. Before aspirating the bone marrow, a detailed history was taken which revealed that he had been suffering from the above mentioned symptoms for the last 10 months. During this time, he reported to the local physicians who investigated with routine laboratory tests such as complete blood count, peripheral blood film
Highlights
Dr Monirul Islam (Hematology Resident): A 65year-old male hailing from Lolua, Tangail north bordering district of Dhaka, Bangladesh, reported to the Department of Hematology, Armed Forces Institute of Pathology on 28th January 2017 with the complaints of marked weight loss, generalized weakness, low-grade fever and anorexia
The ranges used at Armed Forces Institute of Pathology (AFIP) are for adults who are not pregnant and do not have medical conditions that could affect the results
Fever, weight loss, generalized weakness and anorexia favors the diagnosis of hemoglobin E disease with chronic myeloid leukemia but absence of splenomegaly, significant weight loss, severe to moderate anemia are the points against the diagnosis of hemoglobin E disease with chronic myeloid leukemia
Summary
Department of Pathology, Army Medical College Chattogram, Chattogram Cantonment, Chattogram, Bangladesh (MMR); Department of Pathology, Armed Forces Medical Institute, Dhaka Cantonment , Dhaka, Bangladesh (MMI, MSI) Received: Accepted: Available Online: 25 June 2020 5 August 2020 20 September 2020 Cite this article: Rahman MM, Islam MMI, Islam MS. A 65–year–old male with moderate anemia, low-grade fever and weight loss. Bangabandhu Sheikh Mujib Med Univ J. 2020; 13: 97-110. Copyright: The copyright of this article is retained by the author(s) [Atribution CC-By 4.0]
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