The clinical condition and treatment of a driver who was overexposed to an unshielded 137Cs source that was in his truck for about 5 months is described. Bone marrow and blood changes are presented as he progressed from pancytopaenia to myelodysplasia with features of refractory anaemia and then anaemia with an excess of blasts and transformation to frank myelomonocytic leukemia. He died about 22 months after the discovery of the source from an overwhelming hepatitis B infection concurrent with immunosuppression following cytostatic treatment for the leukaemia.
|Number of pages||10|
|Journal||Radiation Protection Dosimetry|
|Publication status||Published - 1999|