Case Report on Acute Lymphoblastic Leukemia B-Cell
Prerana Sakharwade *
Department of Child Health Nursing, Smt. Radhikabai Meghe Memorial College of Nursing Sawangi (Meghe), Wardha, Datta Meghe Institute of Medical Sciences (Deemed to be University) Maharashtra, India.
Ankita Watmode
Smt. Radhikabai Meghe Memorial College of Nursing Sawangi (Meghe), Wardha, Maharashtra, India.
Bibin Kurian
Department of Child Health Nursing, Smt. Radhikabai Meghe Memorial College of Nursing Sawangi (Meghe), Wardha, Datta Meghe Institute of Medical Sciences (Deemed to be University) Maharashtra, India.
Khushbu Meshram
Department of Child Health Nursing, Smt. Radhikabai Meghe Memorial College of Nursing Sawangi (Meghe), Wardha, Datta Meghe Institute of Medical Sciences (Deemed to be University) Maharashtra, India.
Sonali Kolhekar
Department of Child Health Nursing, Smt. Radhikabai Meghe Memorial College of Nursing Sawangi (Meghe), Wardha, Datta Meghe Institute of Medical Sciences (Deemed to be University) Maharashtra, India.
Achita Sawarkar
Department of Community Health Nursing, Smt. Radhikabai Meghe Memorial College of Nursing Sawangi (Meghe), Wardha, Datta Meghe Institute of Medical Sciences (Deemed to be University) Maharashtra, India.
Madhuri Shambharkar
Department of Community Health Nursing, Smt. Radhikabai Meghe Memorial College of Nursing Sawangi (Meghe), Wardha, Datta Meghe Institute of Medical Sciences (Deemed to be University) Maharashtra, India.
Vaishali Tembhare
Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (DU) Sawangi (M), Wardha India.
*Author to whom correspondence should be addressed.
Abstract
Introduction: B- Cell lymphoblastic leukaemia of blood cancer that influences B- Lymphocytes, which are white blood cells that create within the delicate marrow of your bones (marrow) [1]. When healthy blood cells start to alter and expand out of control, this is called leukaemia. ALL is a tumour of immature lymphocytes. Lymphocytes are white blood cells that help the immune system function. Acute lymphoid leukaemia (ALL) is also known as acute lymphoblastic leukaemia. ALL is most visits in youthful children and people over the age of 50, but it can influence anybody at any age [2].
Aim: To acquire the knowledge regarding a case of B-cell acute lymphoblastic leukaemia.
Clinical findings: Abdominal discomfort, fever high grade, chills, Weakness.
Diagnostic Evaluation: Blood Test: Hb-5.5%, Total RBC count-2.21million/cu.mm, Total WBC count- 27400/cumm, RDW- 14.8%, HCT-17.7%, Monocytes-02%, Granulocytes-28%, Lymphocytes-68%, AST(SGOT)-110U/L.
Peripheral Smear: RBC: Total RBC Count- Decreased on smear, Haemoglobin- Decreased Predominantly normocytic with few micro showing moderate lymphomia, Platelets- Decreased on smear No hemoparacites are seen, Peripheral smear is suspicious of severe viral infection.
Ultrasonography: Splenomegaly. Bone marrow aspiration and biopsy. B-cell lymphoblasts (immature white blood cells) are found in the bone marrow
Therapeutic intervention: Blood Transfusion-30 times, Inj Levofloxacin, Inj. Piptaz, Inj. Pan, Inj. Emset, Inj. Doxy, Inj. Hydrocort, Inj. Avil, Tab prednisolone, Tab Dolo.
Outcome: After Treatment, The patient shows improvement. His fever and abdominal discomfort were relived and his Hb% increased from 5.5% to 6% after blood transfusion.
Conclusion: B-cell acute lymphoblastic leukemia is one of the most common types of leukemia in children but is rare in adults. My patient was admitted to medicine ward no-30, AVBRH with diagnosed of Acute Lymphatic Leukaemia and he had complaint of fever and abdominal discomfort. After getting appropriate treatment his condition was improved.
Keywords: Acute lymphatic leukaemia, hemoparacites, normocytic, splenomegaly