We describe a patient with pulmonary tuberculosis and a rare disturbance of
leukocyte segmentation, known as "Pelger-Huet anomaly", which can be obser
ved in various diseases such as malignancies and/or infections. The importa
nce of this association is equivocal: some authors have related to the asso
ciation the particular severity of tuberculosis or the death they observed;
in the case reported we noted no evidence of such a relation, notwithstand
ing the presence of the homozygous form of the Pelger-Huet anomaly. We sugg
est therefore that, when Pelger-Huet anomaly is found, an underlying diseas
e should be searched for; the course of this illness, however, might not be
affected.