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Giant Septic Lymphadenitis with Marked Gas Formation Caused by Bacteroides fragilis in a Patient with Adult T-cell Leukemia/lymphoma.
- Source :
-
Internal medicine (Tokyo, Japan) [Intern Med] 2015; Vol. 54 (22), pp. 2919-22. Date of Electronic Publication: 2015 Nov 15. - Publication Year :
- 2015
-
Abstract
- Adult T-cell leukemia/lymphoma (ATL) sometimes causes opportunistic infections. A 53-year-old woman with systemic lymphadenopathies was diagnosed with ATL by inguinal lymph node biopsies and underwent oral chemotherapy. Two months later, high grade fever, lower abdominal pain and lymphadenopathy recurred. Computed tomography revealed the presence of lymphadenopathy with marked gas formation in the pelvic lesion. Blood cultures were suggestive of septic lymphadenitis by Bacteroides fragilis (BF). This represents the first demonstration of giant lymphadenitis with gas formation caused by BF in a patient with ATL. Notably, septic lymphadenitis is pivotal in the differential diagnosis of systemic lymphadenopathy in ATL.
- Subjects :
- Adult
Antineoplastic Combined Chemotherapy Protocols
Bacteroides Infections diagnosis
Bacteroides Infections drug therapy
Biopsy
Cyclophosphamide
Diagnosis, Differential
Doxorubicin
Female
Humans
Leukemia-Lymphoma, Adult T-Cell diagnosis
Leukemia-Lymphoma, Adult T-Cell drug therapy
Lymph Nodes pathology
Lymphadenitis drug therapy
Lymphadenitis etiology
Prednisone
Tomography, X-Ray Computed
Treatment Outcome
Vincristine
Bacteroides Infections microbiology
Bacteroides fragilis isolation & purification
Leukemia-Lymphoma, Adult T-Cell microbiology
Lymphadenitis diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1349-7235
- Volume :
- 54
- Issue :
- 22
- Database :
- MEDLINE
- Journal :
- Internal medicine (Tokyo, Japan)
- Publication Type :
- Academic Journal
- Accession number :
- 26568010
- Full Text :
- https://doi.org/10.2169/internalmedicine.54.4324