Vancomycin-Induced Maturation Arrest with Reactive Promyelocyte Proliferation: A Diagnostic and Therapeutic Challenge

Drug-induced leukopenia is a diagnostic and therapeutic challenge. A detailed clinical history is a must to come to a right diagnosis. Certain drugs are known to cause bone marrow suppression, leukopenia, myeloid maturation arrest, and reactive promyelocyte proliferation. Here, we report an unusual...

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Main Authors: Iffat Jamal, Shuchismita Shuchismita, Vijayanand Choudhary
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2023-03-01
Series:Journal of Laboratory Physicians
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1750072
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author Iffat Jamal
Shuchismita Shuchismita
Vijayanand Choudhary
author_facet Iffat Jamal
Shuchismita Shuchismita
Vijayanand Choudhary
author_sort Iffat Jamal
collection DOAJ
description Drug-induced leukopenia is a diagnostic and therapeutic challenge. A detailed clinical history is a must to come to a right diagnosis. Certain drugs are known to cause bone marrow suppression, leukopenia, myeloid maturation arrest, and reactive promyelocyte proliferation. Here, we report an unusual case of vancomycin-induced maturation arrest with marked promyelocyte proliferation in a 47-year-old male patient who was being treated for novel coronavirus disease 2019 (COVID-19) infection. Most times, this reactive promyelocyte proliferation is confused with neoplastic promyelocytes, leading to incorrect diagnosis and management.
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spelling doaj.art-fd6737ce51964871974b2d59098a37b12024-02-01T15:07:32ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Laboratory Physicians0974-27270974-78262023-03-01150114915110.1055/s-0042-1750072Vancomycin-Induced Maturation Arrest with Reactive Promyelocyte Proliferation: A Diagnostic and Therapeutic ChallengeIffat Jamal0https://orcid.org/0000-0001-5574-5569Shuchismita Shuchismita1Vijayanand Choudhary2Department of Hematology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, IndiaDepartment of Hematology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, IndiaDepartment of Hematology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, IndiaDrug-induced leukopenia is a diagnostic and therapeutic challenge. A detailed clinical history is a must to come to a right diagnosis. Certain drugs are known to cause bone marrow suppression, leukopenia, myeloid maturation arrest, and reactive promyelocyte proliferation. Here, we report an unusual case of vancomycin-induced maturation arrest with marked promyelocyte proliferation in a 47-year-old male patient who was being treated for novel coronavirus disease 2019 (COVID-19) infection. Most times, this reactive promyelocyte proliferation is confused with neoplastic promyelocytes, leading to incorrect diagnosis and management.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1750072vancomycinmaturation arrestpromyelocyteproliferationbone marrow
spellingShingle Iffat Jamal
Shuchismita Shuchismita
Vijayanand Choudhary
Vancomycin-Induced Maturation Arrest with Reactive Promyelocyte Proliferation: A Diagnostic and Therapeutic Challenge
Journal of Laboratory Physicians
vancomycin
maturation arrest
promyelocyte
proliferation
bone marrow
title Vancomycin-Induced Maturation Arrest with Reactive Promyelocyte Proliferation: A Diagnostic and Therapeutic Challenge
title_full Vancomycin-Induced Maturation Arrest with Reactive Promyelocyte Proliferation: A Diagnostic and Therapeutic Challenge
title_fullStr Vancomycin-Induced Maturation Arrest with Reactive Promyelocyte Proliferation: A Diagnostic and Therapeutic Challenge
title_full_unstemmed Vancomycin-Induced Maturation Arrest with Reactive Promyelocyte Proliferation: A Diagnostic and Therapeutic Challenge
title_short Vancomycin-Induced Maturation Arrest with Reactive Promyelocyte Proliferation: A Diagnostic and Therapeutic Challenge
title_sort vancomycin induced maturation arrest with reactive promyelocyte proliferation a diagnostic and therapeutic challenge
topic vancomycin
maturation arrest
promyelocyte
proliferation
bone marrow
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1750072
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AT vijayanandchoudhary vancomycininducedmaturationarrestwithreactivepromyelocyteproliferationadiagnosticandtherapeuticchallenge