A Case of Appendicitis with Liver Abscesses Developed during Allogeneic Hematopoietic Stem Cell Transplantation / 임상소아혈액종양
Clinical Pediatric Hematology-Oncology
; : 172-176, 2014.
Article
in Ko
| WPRIM
| ID: wpr-84405
Responsible library:
WPRO
ABSTRACT
A 10-year-old boy with severe aplastic anemia was admitted for allogeneic hematopoietic stem cell transplantation. After conditioning chemotherapy using cyclophosphamide, fludarabine, and antithymocyte immunoglobulin, he presented with fever and abdominal pain on day 0 of stem cell transplantation. After diagnosis of acute appendicitis with minor perforation, appendectomy was performed just after cell infusion. A week after the procedure, he showed two huge liver abscesses in S4 and S6 segments. We used broad spectrum antibiotics along with antifungal agents. Percutaneous drainage was attempted, but no fluid was removed and no microorganisms were isolated. After 7 weeks of antibiotics and antifungal therapy, liver abscesses showed improvement. We report a case of successfully treated appendicitis with liver abscesses in a severely neutropenic patient during allogeneic hematopoietic stem cell transplantation.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Appendectomy
/
Appendicitis
/
Immunoglobulins
/
Abdominal Pain
/
Drainage
/
Hematopoietic Stem Cell Transplantation
/
Cyclophosphamide
/
Stem Cell Transplantation
/
Diagnosis
/
Drug Therapy
Type of study:
Diagnostic_studies
Limits:
Child
/
Humans
/
Male
Language:
Ko
Journal:
Clinical Pediatric Hematology-Oncology
Year:
2014
Type:
Article