Probable neutropenic enterocolitis in patients with AIDS. NLM AIDSLINE Important note: Information in this article was accurate in 1992. The state of the art may have changed since the publication date.

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Probable neutropenic enterocolitis in patients with AIDS.

Rev Infect Dis. 1991 Sep-Oct;13(5):828-31. Unique Identifier : AIDSLINE MED/92073795
Cutrona AF; Blinkhorn RJ; Crass J; Spagnuolo PJ; Department of Medicine, Case Western Reserve University School of; Medicine, MetroHealth Medical Center, Cleveland, Ohio 44109.


Abstract: Neutropenic enterocolitis is well documented in patients with leukemia or lymphoma who are recovering from the adverse effects of chemotherapy. We report two cases of probable neutropenic enterocolitis in two patients with AIDS who developed the syndrome during an episode of moderate neutropenia. To the best of our knowledge, this syndrome has not been reported previously in a patient with AIDS. Both of our patients manifested a mild form of enterocolitis that was characterized by fever, abdominal pain, and evidence of colonic edema easily recognized by computed tomography of the abdomen. Both patients were managed successfully with use of conservative measures including discontinuation of use of marrow-suppressive drugs and therapy with broad-spectrum antimicrobial agents. Neutropenic enterocolitis should be considered as a treatable cause of fever and abdominal pain in patients with AIDS.
Keywords: Acquired Immunodeficiency Syndrome/*COMPLICATIONS Adult Antibiotics, Combined/THERAPEUTIC USE Case Report Enterocolitis/*COMPLICATIONS/DRUG THERAPY Human Male Neutropenia/*COMPLICATIONS Sinusitis/COMPLICATIONS/DRUG THERAPY Tomography, X-Ray Computed JOURNAL ARTICLE

KWDacquiredimmunodeficiencysyndrome/KWDcomplicationsadultantibiotics,combined/therapeuticusecasereportenterocolitis/KWDcomplications/drugtherapyhumanmaleneutropenia/KWDcomplicationssinusitis/complications/drugtherapytomography,x-raycomputedjournalarticle
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M9230528


Copyright © 1992 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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