Open AccessLeukemoid Reaction in a Preterm Infant: Diagnostic Challenge in Resource Poor Setting: A Case Report
Author(s) -
Okoli Chukwudi,
Nwaoma Leslie Nwaogu,
Ifeyinwa Nwafia
Publication year - 2020
Publication title -
international journal of medical and pharmaceutical case reports
Language(s) - English
Resource type - Journals
ISSN - 2394-109X
DOI - 10.9734/ijmpcr/2020/v13i230117
Subject(s) - leukemoid reaction , medicine , procalcitonin , peripheral blood , obstetrics , neonatology , pediatrics , immunology , pregnancy , sepsis , biology , genetics
A preterm neonate delivered at 28 weeks gestation, mother had antenatal steroid. Blood counts showed leukemoid reaction, blood culture, procalcitonin and peripheral blood film was normal. Baby was stabilized in the NICU, recovered and the WBC count done serially showed a downward trend. The leukemoid reaction was presumed to come from antenatal steroid use. The diagnostic and management challenges encountered in managing the infant in resource constrained environment like ours is presented alongside.