Pleuro-pericardial effusion revealing a lymphoblastic leukaemia
Nursyazana Nazee Mudeen, Mohd Nor Ikhwan Md Adzha, Tan Siang Tai, Cheng Hee Song
Department of Emergency and trauma, Hospital Sultanah Bahiyah, Malaysia
Haematological malignancies such as leukaemia or lymphoma has a wide variety of clinical presentations. The most common presentations includes leukemia, hypercalcemia, lymphadenopathy, hepatosplenomegaly and skin lesions.We report a case of precursor T cell lymphoblastic leukaemia in a 13 years old girl who presented initially with sudden onset of shortness of breath and reduce effort tolerance. The physical evidence of pleuro-pericardial effusion detected by the emergency team upon performing bedside ultrasonography. There was no haematologic evidence of leukaemia at the time of presentation. Diagnosis was established by bone marrow immunophenotyping . A clinically evident pleuro-pericardial effusion is rare in leukaemia. This case was presented to increase awareness that acute lymphoblastic leukaemia could initially present with pleuro-pericardial effusion.
leukaemia, pericardial effusion, pleural effusion