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{
    "pk": 1206,
    "title": "Cells Gone Wild: A Case Report on Missed Acute Leukemia and Subsequent Disseminated Intravascular Coagulation in the Emergency Department",
    "subtitle": null,
    "abstract": "Introduction:\n Emergency physicians must maintain a broad differential when seeing patients in the emergency department (ED). Occasionally, a patient may have an undiagnosed, life-threatening medical condition not related to the presenting chief complaint. It is imperative to review all ordered laboratory tests and any available previous laboratory values to assess for any abnormalities that may warrant further evaluation.\nCase Report:\n This case report is regarding the missed diagnosis of acute leukemia and subsequent disseminated intravascular coagulation in a 27-year-old male who presented to multiple EDs with the unrelated chief complaint of finger ring entrapment. This patient ultimately succumbed to his illness.\nConclusion:\n When evaluating patients in the ED, it is important to review any prior available test results for abnormalities, even if the results do not specifically correlate with the chief complaint. Emergency physicians must remain vigilant to avoid missing a critical diagnosis.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "case report"
        },
        {
            "word": "acute leukemia"
        },
        {
            "word": "hyperleukocytosis"
        },
        {
            "word": "disseminated intravascular coagulation"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/72w597kv",
    "frozenauthors": [
        {
            "first_name": "Onyinyechukwu",
            "middle_name": "",
            "last_name": "Okorji",
            "name_suffix": "",
            "institution": "Jefferson Health - Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Rachel",
            "middle_name": "",
            "last_name": "Kern",
            "name_suffix": "",
            "institution": "Jefferson Health - Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Shaylor",
            "middle_name": "",
            "last_name": "Klein",
            "name_suffix": "",
            "institution": "Jefferson Health - Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Brian",
            "middle_name": "",
            "last_name": "Jordan",
            "name_suffix": "",
            "institution": "Jefferson Health - Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Kuljit",
            "middle_name": "",
            "last_name": "Kaur",
            "name_suffix": "",
            "institution": "Jefferson Health - Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania",
            "department": "None"
        }
    ],
    "date_submitted": "2022-11-11T22:03:55+01:00",
    "date_accepted": "2022-11-11T22:03:55+01:00",
    "date_published": "2022-11-11T09:00:00+01:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1206/galley/945/download/"
        }
    ]
}