Atipical course of clostridial colitis in child with Hodgkin’s lymphoma

Author:

Lyanguzov A. V.1ORCID,Ignatyev S. V.1ORCID,Kalinina S. L.1ORCID,Tselousova O. M.1ORCID,Tataurova I. P.1ORCID,Dyakonov D. A.1ORCID

Affiliation:

1. Kirov Research Institute of Hematology and Blood Transfusion under the Federal Medical Biological Agency

Abstract

The wide antibiotics use in different areas of medicine has significantly increased the incidence of pseudomembranous colitis caused by Clostridium difficile. Strong necessity of antibacterial therapy in hematological patients is the reason of a higher frequency of this complication after programmed chemotherapy and hematopoietic stem cell transplantation. The atypical course of clostridial colitis makes it difficult to diagnose, leads to delay of treatment and fatal complications. We presented the case of clostridial colitis with atypical clinical manifestations in the 8-year-old child with Hodgkin’s lymphoma. Disease was complicated by colon perforation and fecal peritonitis, which required surgery and long-term rehabilitation. The analysis of publications devoted to clostridial colitis in patients with hematological malignancies was carried out and possible reasons of its atypical course was reviewed. The ways to improve the diagnosis, treatment and prevention of this serious complication are presented.

Publisher

OOO Grafika

Subject

Oncology,Hematology,Pediatrics, Perinatology and Child Health

Reference26 articles.

1. Shelygin Yu.A., Aleshkin V.A., Sukhina M.A., Mironov A.Yu., Briko N.I., Kozlov R.S., Zverev V.V., Achkasov S.I., Kovalishena O.V., Selkova E.P., Safin A.L., Grenkova T.A., Khalif I.L., Frolov S.A., Kashnikov V.N., Sushkov O.I. Clinical recommendations of the National association of specialists for the healthcare-related infections control and the Russian association of coloproctology on diagnosis, treatment and prophylaxis of Clostridium difficile-associated diarrhea (CDI). Koloproktologiya = Coloproctology. 2018;(3):7–23. (In Russ.) doi: 10.33878/2073-7556-2018-0-3-7-23.

2. Balsells E., Shi T., Leese C., Lyell I., Burrows J., Wiuff C., Campbell H., Kyaw M.H., Nair H. Global burden of Clostridium difficile infections: a systematic review and meta-analysis. J Glob Health. 2019;9(1):010407. doi: 10.7189/jogh.09.010407.

3. Marra A.R., Perencevich E.N., Nelson R.E., Samore M., Khader K., Chiang H.Y., Chorazy M.L., Herwaldt L.A., Diekema D.J., Kuxhausen M.F., Blevins A., Ward M.A., McDanel J.S., Nair R., Balkenende E., Schweizer M.L. Incidence and Outcomes Associated With Clostridium difficile Infections: A Systematic Review and Meta-analysis. JAMA Netw Open. 2020;3(1):e1917597. doi: 10.1001/jamanetworkopen.2019.17597.

4. Hall I.C., O’Toole E. Intestinal flora in new-born infants: with a description of a new pathogenic anaerobe, Bacillus difficilis. Am J Dis Child. 1935;49(2):390–402. doi: 10.1001/archpedi.1935.01970020105010.

5. Larson H.E., Price A.B., Honour P., Borriello S.P. Clostridium difficile and the aetiology of pseudomembranous colitis. Lancet. 1978;1(8073):1063–6. doi: 10.1016/s0140-6736(78)90912-1.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3