Document Detail


Intraabdominal mass as presentation of colonic mucormycosis in a child with acute lymphoblastic leukemia.
MedLine Citation:
PMID:  21317813     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Gastrointestinal mucormycosis with clinical presentation as an abdominal mass has been rarely reported in the current literature. In this observation, We report an unusual case of a child with acute lymphoblastic leukemia and neutropenic fever. During hospitalization, increasing abdominal pain and distension occurred, and initially treatments with broad-spectrum antibiotics were administered. However, the symptoms/signs progressed with the development of peritonitis and a palpated mass over the right lower quarter of the abdomen. Imaging studies showed ascending colon perforation with abscess formation. Right hemicolectomy was performed and colonic mucormycosis was confirmed on histologic examination and ascitic fluid culture. Immediately, intravenous liposomal amphotericin B was administered but the clinical condition rapidly deteriorated and the patient expired despite treatment.
Authors:
Wen-Ya Lin; Te-Kau Chang; Chia-Man Chou; Chian-Yin Shen; Jiaan-Der Wang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric hematology/oncology     Volume:  33     ISSN:  1536-3678     ISO Abbreviation:  J. Pediatr. Hematol. Oncol.     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-23     Completed Date:  2011-04-08     Revised Date:  2011-10-06    
Medline Journal Info:
Nlm Unique ID:  9505928     Medline TA:  J Pediatr Hematol Oncol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e72-4     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Taichung Veterans General Hospital, Chung Shan Medical University, Taichung, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Antineoplastic Agents / therapeutic use
Child
Colon / pathology
Fatal Outcome
Humans
Male
Mucormycosis / etiology*,  pathology,  physiopathology*
Neoplasm Recurrence, Local / drug therapy
Precursor Cell Lymphoblastic Leukemia-Lymphoma / complications*,  drug therapy
Chemical
Reg. No./Substance:
0/Antineoplastic Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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