Charúa GL, Colorado LYC, Avendaño EO

Language: Spanish
References: 19
Page: 19-22
PDF size: 46.35 Kb.

ABSTRACT

Neutropenic colitis is also known as typhlitis, ileocecal syndrome and neutropenic enterocolitis. It is often associated to malignant hematological pathology, accompanied with neutropenic inductive therapy. Material and methods: Retrospective, longitudinal and descriptive trial was designed including all patients with a diagnosis of neutropenic colitis who attended to the General Hospital of Mexico, from January 1997 to December 2001. Results: There were 17 patients with a diagnosis of neutropenic colitis; 10 were men and 7, women. Range of age was 17 to 61 years, with a medium of 36. All patients had hematological pathology and were receiving chemotherapy. Predominant signs and symptoms were: fever in 17 patients (100%); abdominal pain in right iliac fossa in 11 (64.70%); diarrhea in 9 (52.94%), generalized abdominal pain in 3 (17.64%), peritoneal irritation in 1 (5.88%). Results of hemocultures were Escherichia coli in 6 patients, Clostridium in 5, Candida in 5, Klebsiella in 3 and Pseudomonas in 1. There were more than one germ in 6. Conclusion: The 17 patients died.

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