Pubfacts - Scientific Publication Data
  • Categories
  • |
  • Journals
  • |
  • Authors
  • Login
  • Categories
  • Journals

Search Our Scientific Publications & Authors

Publications
  • Publications
  • Authors
find publications by category +
Translate page:

Neutropenic Enterocolitis and Sepsis: Towards the Definition of a Pathologic Profile.

Authors:
Giuseppe Bertozzi Aniello Maiese Giovanna Passaro Alberto Tosoni Antonio Mirijello Stefania De Simone Benedetta Baldari Luigi Cipolloni Raffaele La Russa

Medicina (Kaunas) 2021 Jun 20;57(6). Epub 2021 Jun 20.

Section of Legal Medicine, Department of Clinical and Experimental Medicine, University of Foggia, Ospedale Colonnello D'Avanzo, Viale Europa 12, 71100 Foggia, Italy.

Neutropenic enterocolitis (NE), which in the past was also known as typhlitis or ileocecal syndrome for the segment of the gastrointestinal tract most affected, is a nosological entity that is difficult to diagnose and whose pathogenesis is not fully known to date. Initially described in pediatric patients with leukemic diseases, it has been gradually reported in adults with hematological malignancies and non-hematological conditions, such as leukemia, lymphoma, multiple myeloma, aplastic anemia, and also myelodysplastic syndromes, as well as being associated with other immunosuppressive causes such as AIDS treatment, therapy for solid tumors, and organ transplantation. Therefore, it is associated with high mortality due to the rapid evolution in worse clinical pictures: rapid progression to ischemia, necrosis, hemorrhage, perforation, multisystem organ failure, and sepsis. : A case report is included to exemplify the clinical profile of patients with NE who develop sepsis. : To identify a specific profile of subjects affected by neutropenic enterocolitis and the entity of the clinical condition most frequently associated with septic evolution, a systematic review of the literature was conducted. The inclusion criteria were as follows: English language, full-text availability, human subjects, and adult subjects. Finally, the papers were selected after the evaluation of the title and abstract to evaluate their congruity with the subject of this manuscript. Following these procedures, 19 eligible empirical studies were included in the present review. : Despite the recent interest and the growing number of publications targeting sepsis and intending to identify biomarkers useful for its diagnosis, prognosis, and for the understanding of its pathogenesis, and especially for multi-organ dysfunction, and despite the extensive research period of the literature review, the number of publications on the topic "neutropenic enterocolitis and sepsis" appears to be very small. In any case, the extrapolated data allowed us to conclude that the integration of medical history, clinical and laboratory data, radiological imaging, and macroscopic and histological investigations can allow us to identify a specific pathological profile.

Download full-text PDF

Source
http://dx.doi.org/10.3390/medicina57060638DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8234962PMC
June 2021

Publication Analysis

Top Keywords

neutropenic enterocolitis
12
identify specific
8
number publications
8
pathological profile
4
language full-text
4
septic evolution
4
evolution systematic
4
systematic review
4
review literature
4
literature conducted
4
conducted inclusion
4
inclusion criteria
4
criteria english
4
english language
4
full-text availability
4
frequently associated
4
availability human
4
human subjects
4
subjects adult
4
adult subjects
4

Keyword Occurance

Similar Publications

A fatal SARS-coronavirus-2 induced bone marrow aplasia complicated with invasive fungal infection and severe neutropenic enterocolitis.

Authors:
Ali Amanati Seyyed Bozorgmehr Hedayati Mazyar Ziyaeyan Alireza Honar Reyhaneh Dashtianeh Negin Rabiei Nasrin Saki Leila Karami

BMC Infect Dis 2022 Aug 9;22(1):682. Epub 2022 Aug 9.

Shiraz University of Medical Sciences, Shiraz, Iran.

Background: Immunization against the coronavirus disease 2019 (COVID-19) began in January 2021 in Iran; nonetheless, due to a lack of vaccination among children under 12, this age group is still at risk of SARS-CoV-2 infection and its complications.

Case Presentation: SARS-CoV-2 infection was diagnosed in a 6-year-old girl who had previously been healthy but had developed a fever and pancytopenia. The bone marrow aspiration/biopsy demonstrated just hypocellular marrow without signs of leukemia. Read More

View Article and Full-Text PDF
August 2022
Similar Publications

Abdominal pain and fever in a patient with human immunodeficiency virus: a case report.

Authors:
Max Ackerman Arian Frost Kimberly Stanford

Int J Emerg Med 2022 Aug 8;15(1):35. Epub 2022 Aug 8.

Department of Medicine, Section of Emergency Medicine, University of Chicago, 5841 S Maryland Ave, Chicago, IL, 60637, USA.

Background: Neutropenic enterocolitis (NE), or typhlitis, a condition typically associated with severe neutropenia in the setting of chemotherapy, is highly morbid (50-100%) and benefits from early diagnosis. It has been associated with neutropenia in the setting of human immunodeficiency virus (HIV) but has not been described in a patient with HIV who was not neutropenic on presentation. We present the case of a patient with HIV who was not neutropenic on presentation but found to have NE. Read More

View Article and Full-Text PDF
August 2022
Similar Publications

Safety and risk of febrile recurrence after early antibiotic discontinuation in high-risk neutropenic patients with haematological malignancies: a multicentre observational study.

Authors:
Raphael Paret Amandine Le Bourgeois Gaëlle Guillerm Benoit Tessoulin Schéhérazade Rezig Thomas Gastinne Marie Anne Couturier David Boutoille Raphael Lecomte Florence Ader Steven Le Gouill Séverine Ansart Jean Philippe Talarmin Benjamin Gaborit

J Antimicrob Chemother 2022 Jun 24. Epub 2022 Jun 24.

Department of Infectious Diseases, University Hospital of Nantes and CIC 1413, Nantes, France.

Background: Early antibiotic discontinuation according to the Fourth European Conference on Infections in Leukaemia (ECIL-4) recommendations is not systematically applied in high-risk neutropenic patients with haematological malignancies.

Methods: A retrospective multicentre observational study was conducted over 2 years to evaluate the safety of early antibiotic discontinuation for fever of unknown origin (FUO) during neutropenia after induction chemotherapy or HSCT, in comparison with a historical cohort. We used Cox proportional hazards models, censored on neutropenia resolution, to analyse factors associated with febrile recurrence. Read More

View Article and Full-Text PDF
June 2022
Similar Publications

[Neutropenic enterocolitis in the pediatric cancer patient].

Authors:
Jorge Kassisse L Luis Delpiano M Francia López D Aníbal Espinoza G

Rev Chilena Infectol 2022 02;39(1):59-69

Hospital Clínico San Borja Arriarán, Chile.

Neutropenic enterocolitis (NEC) is a heterogeneous disease of the gastrointestinal tract with systemic response, that corresponds to a severe and life-threatening clinical condition in immunocompromised patients, especially in childhood cancer. The pathologic features are poorly understood, although its multifactorial cause of NEC is well established and it is associated with the cytotoxic effects of the chemotherapy agents used and recognized by the classic triad of fever, neutropenia, and abdominal pain, secondary to gastrointestinal injuries that alters mucosal permeability and helps intramural bacterial invasion. NEC is truly a clinical challenge that requires an early diagnosis and a multidisciplinary approach including basic laboratory and imagological tests in high complexity centers. Read More

View Article and Full-Text PDF
February 2022
Similar Publications

Neutropenic Enterocolitis as a Complication of Autologous Stem Cell Transplant in Patients With Multiple Myeloma: A Case Series.

Authors:
Nadia Belmoufid Sanae Daghri Soukaina Driouich Anass Nadi Nouama Bouanani

Cureus 2022 Apr 25;14(4):e24475. Epub 2022 Apr 25.

Department of Hematology, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR.

Neutropenic enterocolitis (NE) is a rare but severe complication occurring in neutropenic patients undergoing intensive chemotherapy. Mortality is high, so early diagnosis is required to start urgent medical or surgical treatment. Data analysis of the development of NE after hematopoietic stem cell transplantation remains scarce. Read More

View Article and Full-Text PDF
April 2022
Similar Publications
}
© 2022 PubFacts.
  • About PubFacts
  • Privacy Policy
  • Sitemap