A 47-year-old male is admitted under the medical team with a short history of fever and lethargy | Medibuddy
29th May 2023

A 47-year-old male is admitted under the medical team with a short history of fever and lethargy

A 47-year-old male is admitted under the medical team with a short history of fever and lethargy. He is tachycardic and on examination is noted to have a petechial rash on his lower limbs.

His initial bloods reveal the following:

Hb 75 g/L (130-180 g/L)
WCC 22 x 10⁹/L (3.6-11 x 10⁹/L)
Neutrophils 0.1 x 10⁹/L (1.8-7.5 x 10⁹/L)
Platelets 17 x 10⁹/L (150-400 x 10⁹/L)
Film comment Confirmed anaemia and thrombocytopenia. Blasts present with Auer rods evident.

What is the most likely diagnosis?

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