A new diagnosis of acute myeloid leukaemia complicated by peripancreatic tuberculous lymphadenitis

Abstract

A 29-year-old woman presented with neutropenic sepsis and was found to have a new diagnosis of acute myeloid leukaemia. Following initiation of induction chemotherapy the patient became increasingly unwell with ongoing sepsis despite broad-spectrum antibiotic treatment. An extensive septic screen failed to identify a source, other than the finding of a peripancreatic mass on imaging. Following the introduction of antituberculous treatment the patient showed signs of clinical improvement and a subsequent biopsy confirmed the mass to be tuberculous lymphadenitis. The patient completed three cycles of combination chemotherapy achieving a complete remission and also successfully completed 12 months of antituberculous treatment.