case_images: PMC11724030_01
case_images: (a) Bone marrow aspirate showing hypercellularity and myeloproliferation with prominence of myelocytes and metamyelocytes. Myeloid: Erythroid ratio is increased. (b) Peripheral smear showing marked leukocytosis with left shift. A spectrum of myeloid cells is seen with a predominance of myelocytes.
case_images: CRINM2025-9371576.001.jpg
case_images: PMC11724030_01_CRINM2025-9371576.001.jpg
case_images: fig1
case_images: Imaging studies, including chest radiograph, ECG, EEG, MRI, and MR venography of the brain and orbit, were also unremarkable (Figures 1, 2, and 3).
case_images: (a, b) Pure tone audiogram depicting profound sensorineural hearing loss in both ears. (c) Fundoscopy image of right eye showing deep retinal hemorrhages (green arrow), blurring of optic disc margins with obscuration of all vessels on disc suggestive of Grade V papilledema (red arrow) and pale retina as compared to other segments of retina secondary to vessel occlusion (blue arrow).
case_images: CRINM2025-9371576.002.jpg
case_images: PMC11724030_01_CRINM2025-9371576.002.jpg
case_images: fig2
case_images: Imaging studies, including chest radiograph, ECG, EEG, MRI, and MR venography of the brain and orbit, were also unremarkable (Figures 1, 2, and 3).
case_images: Timeline of events.
case_images: CRINM2025-9371576.003.jpg
case_images: PMC11724030_01_CRINM2025-9371576.003.jpg
case_images: fig3
case_images: Imaging studies, including chest radiograph, ECG, EEG, MRI, and MR venography of the brain and orbit, were also unremarkable (Figures 1, 2, and 3).