Summary:
Case report-1: Sabarna, a female baby of fifteen months
old was admitted in Pediatric Hematology and Oncology,
Bangabandhu Sheikh Mujib Medical University
(BSMMU), Dhaka, Bangladesh with the complaints of
deviation of the angle of mouth to right side and inability
to close the left eye for five days. Systemic examination
revealed an incision scar mark on the left mastoid region.
Facial asymmetry as evidenced by smooth forehead,
absence of nasolabial fold, drooping of the angle of mouth
and nonclosure of eyelid on left side. She was mildly pale,
mild hepatomegaly, no lymphadenopathy, bone pain or
bleeding manifestation. Physical, hematological and
histopathological investigations the features were
suggestive of facial nerve palsy due to granulocytic
sarcoma (GS) with acute myeloid leukemia (AML).
Following second day of chemotherapy her vital signs
suddenly deteriorated and succumbed probably due to the
leukostasis or intracranial hemorrhage.