Ono Masayoshi, Ohnishi Shunsuke, Onishi Reizo, Takahashi Shojiro, Kobayashi Yoshimitsu, Suzuki Mio, Kubo Kimitoshi, Dazai Masayoshi, Yamamoto Junji, Oda Hisashi, Tada Kenji, Takahashi Tatsuro, Miyagishima Takuto
Department of Internal Medicine, Kushiro Rosai Hospital, Japan.
Rinsho Ketsueki. 2010 Dec;51(12):1781-5.
A 70-year-old male, who had undergone resection of gastric malignant lymphoma in 1992, presented with cervical lymph node swelling in January 2008. Pathological examination of the lymph node biopsy demonstrated recurrence of malignant lymphoma, and he was treated with the R-CHOP regimen. Although he did not develop fever during the first through third course of R-CHOP, from the fourth course, he repeatedly demonstrated fever over 38°C for about one week after each course of chemotherapy, despite the absence of neutropenia. Helicobacter cinaedi infection was confirmed by blood culture each time. Although it is difficult to diagnose Helicobacter cinaedi infection by the standard culture method, increased numbers of recent reports especially in immunocompromised patients have emphasized the importance of diagnosing Helicobacter cinaedi infection.
一名70岁男性,曾于1992年接受胃恶性淋巴瘤切除术,2008年1月出现颈部淋巴结肿大。淋巴结活检的病理检查显示恶性淋巴瘤复发,遂接受R-CHOP方案治疗。在R-CHOP方案的第一至第三个疗程期间,他未出现发热,但从第四个疗程开始,尽管没有中性粒细胞减少,他在每个化疗疗程后约一周内反复出现体温超过38°C的发热症状。每次血培养均确诊为辛内西螺杆菌感染。虽然通过标准培养方法很难诊断辛内西螺杆菌感染,但最近越来越多的报告(尤其是在免疫功能低下的患者中)强调了诊断辛内西螺杆菌感染的重要性。