case_images: PMC5892271_01
case_images: Peripheral smear: Giemsa stain (1000x). Thin arrows denote hypogranular granulocytes, thick arrows denote monocytes, and *denotes circulating myeloblasts.
case_images: CRIONM2018-8201917.001.jpg
case_images: PMC5892271_01_CRIONM2018-8201917.001.jpg
case_images: fig1
case_images: Peripheral blood smear demonstrated increased blasts with promonocytes consistent with AML (Figure 1).
case_images: Echocardiogram showing large pericardial effusion with right atrial and ventricular collapse.
case_images: CRIONM2018-8201917.002.jpg
case_images: PMC5892271_01_CRIONM2018-8201917.002.jpg
case_images: fig2
case_images: Given his dyspnea, hemodynamic abnormalities, and jugular venous distension, an emergent echocardiogram was obtained which revealed a large pericardial effusion with right atrial and ventricular collapse consistent with cardiac tamponade (Figure 2).
case_images: Bone marrow aspirate, 1000x, Giemsa stain. *denotes myeloblasts, thin arrows denote the monoblasts, and thick arrows denote promonocytes.
case_images: CRIONM2018-8201917.003.jpg
case_images: PMC5892271_01_CRIONM2018-8201917.003.jpg
case_images: fig3
case_images: Bone marrow biopsy was consistent with AMML (Figure 3).