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Pathology
A 48-year-old alcoholic man presents with a 6-day history of productive cough and fever. The temperature is 38.7degC (103degF), respirations are 32 per minute, and blood pressure is 126/86 mm Hg. The patient's cough worsens, and he begins expectorating large amounts of foul-smelling sputum. A chest X-ray shows a right upper and middle lobe infiltrate. A CBC demonstrates leukocytosis (WBC = 38,000/mL), with 80% slightly immature neutrophils and toxic granulation. Laboratory studies reveal elevated leukocyte alkaline phosphatase. Which of the following best describes this patient's hematologic condition?
Acute myelogenous leukemia
Chronic lymphocytic leukemia
Chronic myelogenous leukemia
Leukemoid reaction
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