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热带念珠菌血症后急性淋巴细胞白血病的自发缓解

Spontaneous Remission of Acute Lymphoblastic Leukemia Following Candida tropicalis Fungemia.

作者信息

McCormick Benjamin J, Imran Hamayun

机构信息

Internal Medicine, Mayo Clinic, Jacksonville, USA.

Pediatric Hematology/Oncology, University of South Alabama, Mobile, USA.

出版信息

Cureus. 2024 Jun 15;16(6):e62435. doi: 10.7759/cureus.62435. eCollection 2024 Jun.

Abstract

Spontaneous remission (SR) in acute lymphoblastic leukemia (ALL) is a poorly understood phenomenon that has been sporadically reported in medical literature for over a century, and the molecular and immunologic mechanisms of remission pose interesting clinical questions. Furthermore, the often-transient nature of these remissions poses a challenge to physicians in formulating an approach to treatment. We report on a rare case of sepsis in a three-year-old female with high-risk ALL who received less than two months of treatment prior to sepsis and subsequent SR.

摘要

急性淋巴细胞白血病(ALL)的自发缓解(SR)是一种尚未被充分理解的现象,在医学文献中已有一个多世纪的零星报道,缓解的分子和免疫机制引发了有趣的临床问题。此外,这些缓解通常具有短暂性,这给医生制定治疗方案带来了挑战。我们报告了一例罕见的脓毒症病例,患者为一名3岁高危ALL女童,在发生脓毒症及随后的自发缓解之前,接受治疗的时间不到两个月。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa4a/11249080/1f506f476563/cureus-0016-00000062435-i01.jpg

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