[Epidural abscess in the spine extended from pulmonary zygomycosis during consolidation chemotherapy for acute lymphoblastic leukemia].

Keiko Tuyumu, Aya Nakaya, Jun Miyauchi, Shinichiro Okamoto

Research output: Contribution to journalArticle

Abstract

A 37-year-old woman with acute lymphoblastic leukemia developed fever and pneumonia during persistent neutropenia after consolidation chemotherapy. Pneumonia was rapidly followed by the formation of abscess in adjacent subcutaneous tissues, muscles and bones. She subsequently developed sudden onset of paraplegia and loss of all sensation below Th4. Epidural abscess was detected by MRI. Emergency drainage was performed, but the patient died 4 days after the operation. Rhizopus oryzae grew from culture of the epidural abscess. Since the incidence of zygomycosis appears to have increased over the recent years, clinicians should be aware of the possibility of zygomycosis in case of any infection that is resistant to antibiotics.

Original languageEnglish
Pages (from-to)718-721
Number of pages4
Journal[Rinshō ketsueki] The Japanese journal of clinical hematology
Volume52
Issue number8
Publication statusPublished - 2011 Aug
Externally publishedYes

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Consolidation Chemotherapy
Zygomycosis
Epidural Abscess
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Pneumonia
Spine
Rhizopus
Lung
Paraplegia
Subcutaneous Tissue
Neutropenia
Abscess
Drainage
Emergencies
Fever
Anti-Bacterial Agents
Bone and Bones
Muscles
Incidence
Infection

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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AU - Okamoto, Shinichiro

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