一名急性非淋巴细胞白血病患者发生马红球菌和巴西诺卡菌脑及肝脏感染。

Rhodococcus equi and Nocardia brasiliensis infection of the brain and liver in a patient with acute nonlymphoblastic leukemia.

作者信息

Akan H, Akova M, Ataoğlu H, Aksu G, Arslan O, Koç H

机构信息

Department of Hematology, Ankara University, Faculty of Medicine, Ibni Sina Hospital, Sihhiye, Turkey.

出版信息

Eur J Clin Microbiol Infect Dis. 1998 Oct;17(10):737-9. doi: 10.1007/s100960050172.

DOI:10.1007/s100960050172

PMID:9865991

Abstract

Resolution of neutropenia is usually followed by resolution of fever in patients with febrile neutropenia. However, in some cases fever continues even when the patient is no longer neutropenic. Described here is a case of acute myeloblastic leukemia complicated by brain abscess, pulmonary nodules, and hepatic lesions. The patient's fever had continued after the neutropenia resolved; brain and hepatic cultures grew Rhodococcus equi and Nocardia brasiliensis. Although Rhodococcus infections occur frequently in patients with HIV infection, they are uncommon in patients with acute leukemia.

摘要

在发热性中性粒细胞减少症患者中，中性粒细胞减少症缓解后通常随之出现发热缓解。然而，在某些情况下，即使患者不再处于中性粒细胞减少状态，发热仍会持续。本文描述了一例急性髓细胞白血病并发脑脓肿、肺结节和肝脏病变的病例。中性粒细胞减少症缓解后，该患者的发热仍持续；脑和肝脏培养物培养出马红球菌和巴西诺卡菌。虽然红球菌感染在HIV感染患者中经常发生，但在急性白血病患者中并不常见。