ISSN : 2146-3123
E-ISSN : 2146-3131

Neutropenic Enterocolitis: A Case Report
Zerrin Yuruğkural 1, Hüseyin Üçkardeş 2, Birsen Mutlu 2, Abdullah Hacıhanefioğlu 3
1Trakya Üniversitesi Tıp Fakültesi Klinik Bakteriyoloji ve İnfeksiyon Hastalıkları Anabilim Dalı, Edirne
2Kocaeli Üniversitesi Tıp Fakültesi İnfeksiyon Hastalıkları ve Klinik Bakteriyoloji Anabilim Dalı, Kocaeli
3Kocaeli Üniversitesi Tıp Fakültesi Hematoloji Anabilim Dalı, Kocaeli
Pages : 162-164

Abstract

Neutropenic enterocolitis is an acute syndrome characterized by cecal and ascending colon inflammation that may progress to necrosis and perforation. It is most often associated with leukemia but has also been described in patients with solid tumors, multiple myeloma, aplastic anemia, AIDS, and cyclic neutropenia. Twenty-five year old male patient was admitted with a diagnosis of acute myeloid leukemia. Severe fever, abdominal sensitivity and severe pain and diarrhea with blood developed in the patient treated idarubicin and cytosine arabinoside. Direct abdominal radiogram revealed air-fluid levels, the patient was diagnosed as typhlitis and taken to an emergency operation in which the necrotised small bowel was resected. Severe abdominal pain and sensitivity, diarrhea with blood and thrombocytopenia developed again on the 19th day on which the patient was reoperated. Ileal resection and colostomia was performed on this second operation. Thrombocytopenia, prolonged bleeding and coagulation times and gastrointestinal bleeding was observed. Despite all treatment efforts, the patient developed tachycardia, tachipnea, cognitive changes and sepsis and died.

Keywords : Neutropenia; enterocolitis
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