Leucocytosis and type 2 diabetes mellitus – a case report

During the admission, the patients’ condition seemed to improve, altough the white blood count remained at high levels all that time. There was only one episode of fever, the highest temperature reaching 37°C, point at which hemoculture was collected. The fever was remitted after administrating antibiotics. Basal bolus insulin therapy was initiated with good results regarding the patients’ glycaemic levels. Laboratory parameters evidenced leukocytosis syndrome with white blood cells over 30000/mm3, inflammatory syndrome, high values of conjugated bilirubin, hyperglycemia, mild anemia. Subsequently, hemo and uroculture were proven negative, as well as stool samples for Salmonella, Shigella, and Yersinia. Imagistic analysis were also performed, abdominal ultrasound revealed increased size of the liver, inflammation of the gall bladder without gallstones and as cites fluid with perihepatic, perisplenic and pelvic disposition. Abdominal MRI confirmed the ultrasound results.