Case 10-2004 - A 58-Year-Old Man with Acute Myeloid Leukemia and Fever after Chemotherapy

doi:10.1056/NEJMcpc030039

Volume 350:1339-1347		March 25, 2004		Number 13

Case 10-2004 — A 58-Year-Old Man with Acute Myeloid Leukemia and Fever after Chemotherapy

Jay A. Fishman, M.D., Bimalangshu R. Dey, M.D., and Robert P. Hasserjian, M.D.

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

Full Text

PDF

PDA Full Text

Purchase this article

Add to Personal Archive

Add to Citation Manager

Notify a Friend

E-mail When Cited

E-mail When Letters Appear

PubMed Citation

Presentation of Case

Dr. Bimalangshu R. Dey: A 58-year-old man with a large sacralulcer was admitted to the hospital for chemotherapy to treatacute myeloid leukemia.

The patient had had recurrent infections of a pilonidal cystfor 20 years; the infections had required surgical débridementon multiple occasions. Six weeks before admission to this hospital,he was admitted to another hospital with a temperature as highas 39.4°C with chills and rigors. The pilonidal cyst hada malodorous, purulent discharge and was surrounded by fluctuant,swollen tissue. Surgical incision and drainage were performed.The white-cell count was 7500 per cubic millimeter, with . . . [Full Text of this Article]

Pathological Discussion

Pathological Diagnosis

Presentation of Case (Continued)

Differential Diagnosis

Discussion of Management

Guidelines for Treating Infections in Immunocompromised Patients

General Principles

Risk of Infection

Care of This Patient

Source Information

From the Transplant Infectious Disease and Compromised Host Program, Infectious Disease Division (J.A.F.), the Bone Marrow Transplant Unit, Hematology Oncology Division (B.R.D.), and the Department of Pathology (R.P.H.), Massachusetts General Hospital; and the Departments of Medicine (J.A.F., B.R.D.), and Pathology (R.P.H.), Harvard Medical School.