De A, Mathurkar H, Baveja S, Manglani M V
Department of Microbiology, L.T.M. Medical College, Sion, Mumbai, India.
Indian J Med Paediatr Oncol. 2009 Oct;30(4):147-8. doi: 10.4103/0971-5851.65341.
A female child admitted to hospital, diagnosed with acute lymphatic leukemia - CALLA positive, developed loose motions. Her stool culture and blood culture grew Pseudomonas aeruginosa. Although the diarrhea subsided after five days, the stool culture repeatedly grewP. aeruginosa for more than one month, in spite of treatment. Even though diarrhea due to Pseudomonas is rare, it can yet be seen in immunocompromised patients and is also associated with neutropenic enterocolitis. Stool specimens of all leukemia patients on chemotherapy and suffering from diarrhea, should be sent routinely for culture, so as to find out the exact cause of the diarrhea. Proper reporting will enable the clinicians to start appropriate antibiotics, thereby, reducing the morbidity and mortality of the leukemia patients.
一名女童入院,被诊断为急性淋巴细胞白血病 - 普通型急性淋巴细胞白血病阳性,出现腹泻。她的粪便培养和血培养均培养出铜绿假单胞菌。尽管腹泻在五天后消退,但尽管进行了治疗,粪便培养在一个多月的时间里反复培养出铜绿假单胞菌。虽然由铜绿假单胞菌引起的腹泻很少见,但在免疫功能低下的患者中仍可见到,并且还与中性粒细胞减少性小肠结肠炎有关。所有接受化疗且患有腹泻的白血病患者的粪便标本都应常规送检进行培养,以便找出腹泻的确切原因。准确的报告将使临床医生能够开始使用适当的抗生素,从而降低白血病患者的发病率和死亡率。