The Turkish Journal of Pediatrics 2007 , Vol 49 , Num 3
Splenic abscesses in therapy-resistant acute myeloblastic leukemia presenting as recurrent febrile neutropenia and unresolved splenomegaly
1Divisions of Pediatric Hematology, Ankara Oncology Hospital, Ankara, Turkey
2Divisions of Radiology, Ankara Oncology Hospital, Ankara, Turkey
3Divisions of 2nd Surgery, Ankara Oncology Hospital, Ankara, Turkey
4Divisions of Pathology, Ankara Oncology Hospital, Ankara, Turkey
5Divisions of Microbiology, Ankara Oncology Hospital, Ankara, Turkey
Olcay L, Dingil G, Yıldırım E, Dilek G, Dirim E. Splenic abscesses in therapy-resistant acute myeloblastic leukemia presenting as recurrent febrile neutropenia and unresolved splenomegaly. Turk J Pediatr 2007; 49: 315-318.

A 14 7/12-year-old boy with acute myeloblastic leukemia M3v was admitted with disseminated intravascular coagulation, otitis media, lobar pneumonia, and splenomegaly. After induction therapy, M2 bone marrow was attained but splenomegaly persisted. Abdominal ultrasonography, which revealed diffuse splenomegaly at admission, showed splenic nodular lesions at the end of the induction therapy. The lesions persisted after M1 bone marrow was attained. He developed acute appendicitis and was operated. Ultrasonography-guided aspiration biopsy revealed nonspecific purulent abscess. Gram’s stain and aerobic culture revealed no microorganism or fungi. Splenectomy was performed. The pathologic examination confirmed the diagnosis. He did not have an appropriate bone marrow donor, and developed bone marrow relapse and died. Keywords : splenic abscess, acute myeloblastic leukemia

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