Neutropenic
enterocolitis (NE), commonly known as typhlitis, is a serious illness that
primarily affects immunocompromised people. This is Armenia's first documented
case of NE. In September of this year, a 12-year-old girl was diagnosed with
Hodgkin Lymphoma IIA and began chemotherapy with prednisolone, vincristine,
doxorubicin, and etoposide. She developed gastrointestinal pain, cramps, and
constipation on the ninth day of chemotherapy. The results of the tests were
unremarkable. A gastroenterologist recommended empiric Helicobacter Pylori (HP)
eradication (a regimen of amoxicillin and clarithromycin). She had a fever two
days later, and her CBC revealed severe neutropenia (WBC -0.34 neutrophil
levels 0.06*103/L). For febrile neutropenia, Meropenem was prescribed. Despite
medication, the problems persisted. NE was suspected based on the symptoms
(fever, neutropenia, abdominal pain, and diarrhoea), and an abdominal CT scan
was conducted. It indicated a 0.5-1.0 cm breadth of intestinal mucosa. As a
result, the diagnosis of NE was confirmed, and the clarithromycin was replaced
with metronidazole. Blood culture revealed Pseudomonas aeruginosa, while stool
culture revealed Proteus vulgaris. The patient was able to recover after ten
days of antibiotic medication and a change in diet. CONCLUSION: Raising
typhlitis awareness and identifying potential risk factors in local
institutions may assist to reduce the prevalence and severity of the disease.
Author (S) Details
Tatevik Grigoryan
The Hematology Center
after Prof. Yeolyan, Ministry of Health of Armenia, Armenia.
Petros Ghazaryan
The Hematology Center after Prof. Yeolyan, Ministry of Health of Armenia,
Armenia.
Samvel Danielyan
The Hematology Center after Prof. Yeolyan, Ministry of Health of Armenia,
Armenia.
Gevorg Tamamyan
The Hematology Center after Prof. Yeolyan, Ministry of Health of Armenia,
Armenia.
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Book :- https://stm.bookpi.org/TIPR-V11/article/view/3133
Monday 6 September 2021
Study on Confirmed Case of Neutropenic Enterocolitis in Armenia | Chapter 11 | Technological Innovation in Pharmaceutical Research Vol. 11
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