This 32 y/o gentleman presented with fatigue, cough and fevers. He had a white count of 160,ooo!!! As you can see by the outline on his belly, his spleen and liver are very big. He also had enlarged lymph nodes in his neck. As you can see by the second picture, he is very anemic, hemoglobin 4.1. He stated he started noticing symptoms and swelling in his neck for maybe 8-12 months. I am not exactly sure, but by his blood smear my best guess is CLL(chronic lymphocytic leukemia), which is unusual at his age. I was guessing CML(chronic myelogenous leukemia). We sent him to Kabul for definitive treatment. Not sure how he is doing, as we have no way of tracking patients in this country.
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