Geriatric Presentation of Hyperleukocytosis in Setting of B-Cell Acute Lymphoblastic Leukemia, Border-Zone Ischemic Stroke and Endocarditis

Abstract

BackgroundAcute lymphoblastic leukemia (ALL) is an unusual diagnosis in the adult population. They represent 20% of the cases in the adult population. Moreover, acute leukemia in the elderly is rarely reported in combination with ischemic stroke. We present a case of a female patient presenting with acute hyperleukocytosis and new diagnosis of ALL, border-zone ischemic infarcts, and nonbacterial thrombotic endocarditis. Case PresentationAn 81-year-old female with past medical history significant for stable congestive heart failure, atrial fibrillation on apixaban, and coronary artery disease presented to an outside hospital with 12-hour history of