Case 52-1982

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Abstract
Presentation of CaseA 50-year-old man was admitted to the hospital because of recurrent fever.He was well until four years earlier, when epistaxes and easy bruising developed, and he came to this hospital. A diagnosis of hairy-cell leukemia was made, and he was found to have high-output cardiac failure secondary to severe anemia. Transfusions of packed red cells were administered, and a splenectomy was performed. Microscopical examination of the spleen disclosed an infiltrate typical of hairy-cell leukemia. The bleeding ceased. After discharge the patient felt well until 27 months before admission, when his temperature rose to 38.9°C. He returned . . .