Chronic Lymphocytic Leukemia Presenting as Recurrent Pulmonary Infections

A 57 years old male presented to the pulmonary OPD with cough with sputum, fever, and loss of apetite. He gave a history of frequent hospitalization for cough and fever thrice in the recent past within one month in a nearby hospital. Discharge summary and his past investigations were studied in detail which were suggestive of recurrent pneumonia of left lung and was treated with cefotaxime one gram intravenously B.D., anti-tussives and multivitamin tablets. His total leucocyte count was 19,400 cells/cu.mm with 65% lymphocytes at that time. On examination, he was moderately built, mild pallor, febrile, had mild hepatospleenomegaly and was coughing. All the routine blood investigations including chest X-ray and Mantoux test were advised