Neutropenic enterocolitis-induced sepsis and disseminated intravascular coagulation after chemotherapy: a case report Article Swipe
Masako Ishikawa
,
Kentaro Nakayama
,
Razia Sultana
,
Akiko Ishida
,
Hitomi Yamashita
,
Tomoka Ishibashi
,
Seiya Sato
,
Kiyoka Sawada
,
Hiroki Sasamori
,
Sonomi Kurose
,
Noriyoshi Ishikawa
,
Satoru Kyo
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1186/s12905-021-01302-8
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1186/s12905-021-01302-8
Background Neutropenic enterocolitis (NE) is a potentially life-threatening disease that primarily occurs in cancer patients treated with chemotherapy. NE has substantial morbidity and mortality, and its incidence has increased with the widespread use of chemotherapeutic agents such as taxanes, gemcitabine, and leucovorin in patients with lung, breast, gastric, and ovarian cancers. Sometimes NE can be a possible cause of death. Although, conservative approaches are often successful, there are currently no standardized treatment guidelines for NE and it is unclear when such strategies should be implemented. Therefore, we present this report to provide a greater insight into the possible treatment of NE. Case presentation We report the case of a 72-year-old woman with endometrial cancer who was undergoing treatment for hypertension, obesity and diabetes mellitus. The patient initially developed paralytic ileus on the 6th postoperative day (POD) after surgery for endometrial serous carcinoma. Complete recovery was achieved after 4 days of fasting and fluid replacement therapy. On the 27th POD, she received the first cycle of combination chemotherapy consisting of paclitaxel and carboplatin. On day 5 of chemotherapy, she developed the systemic inflammatory response syndrome including febrile neutropenia and sepsis. She then developed disseminated intravascular coagulation (DIC) and septic shock. The patient was subsequently moved to the intensive care unit (ICU). Despite initiating the standard treatment for septic shock and DIC, her overall status worsened. It was assumed that gut distention had led to bowel damage, subsequently leading to bacterial translocation. Thus, she developed NE with severe DIC and septic shock. We decided to reduce the intestinal pressure using an ileus tube to suction the additional air and fluid, even though doing so had a risk of worsening her general condition. The inflammatory reaction subsided, and her general condition improved. The patient recovered after 18 days in the ICU and was discharged alive. Conclusions Herein, we describe a patient with suspected chemotherapy-associated NE. Our observations suggest that postoperative ileus may be one of the possible causes of NE. Patients who experience postoperative ileus must be carefully monitored while undergoing chemotherapy.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1186/s12905-021-01302-8
- https://bmcwomenshealth.biomedcentral.com/counter/pdf/10.1186/s12905-021-01302-8
- OA Status
- gold
- Cited By
- 7
- References
- 43
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3157637832
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W3157637832Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1186/s12905-021-01302-8Digital Object Identifier
- Title
-
Neutropenic enterocolitis-induced sepsis and disseminated intravascular coagulation after chemotherapy: a case reportWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-05-03Full publication date if available
- Authors
-
Masako Ishikawa, Kentaro Nakayama, Razia Sultana, Akiko Ishida, Hitomi Yamashita, Tomoka Ishibashi, Seiya Sato, Kiyoka Sawada, Hiroki Sasamori, Sonomi Kurose, Noriyoshi Ishikawa, Satoru KyoList of authors in order
- Landing page
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https://doi.org/10.1186/s12905-021-01302-8Publisher landing page
- PDF URL
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https://bmcwomenshealth.biomedcentral.com/counter/pdf/10.1186/s12905-021-01302-8Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://bmcwomenshealth.biomedcentral.com/counter/pdf/10.1186/s12905-021-01302-8Direct OA link when available
- Concepts
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Medicine, Disseminated intravascular coagulation, Septic shock, Sepsis, Internal medicine, Carboplatin, Chemotherapy, Surgery, Gastroenterology, Intensive care medicine, CisplatinTop concepts (fields/topics) attached by OpenAlex
- Cited by
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7Total citation count in OpenAlex
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2024: 2, 2023: 1, 2022: 3, 2021: 1Per-year citation counts (last 5 years)
- References (count)
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43Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.developed | 128, 179, 192, 243 |
| abstract_inverted_index.improved. | 289 |
| abstract_inverted_index.incidence | 27 |
| abstract_inverted_index.including | 185 |
| abstract_inverted_index.increased | 29 |
| abstract_inverted_index.initially | 127 |
| abstract_inverted_index.intensive | 207 |
| abstract_inverted_index.mellitus. | 124 |
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| abstract_inverted_index.recovered | 292 |
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| abstract_inverted_index.suspected | 310 |
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| abstract_inverted_index.worsening | 277 |
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| abstract_inverted_index.additional | 265 |
| abstract_inverted_index.approaches | 63 |
| abstract_inverted_index.carcinoma. | 142 |
| abstract_inverted_index.condition. | 280 |
| abstract_inverted_index.consisting | 168 |
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| abstract_inverted_index.widespread | 32 |
| abstract_inverted_index.72-year-old | 110 |
| abstract_inverted_index.Conclusions | 303 |
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| abstract_inverted_index.combination | 166 |
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| cited_by_percentile_year.min | 89 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 12 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8799999952316284 |
| sustainable_development_goals[0].display_name | Good health and well-being |
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| citation_normalized_percentile.is_in_top_10_percent | False |