Fatal Chemotherapy-induced Combined Infection in a Hodgkin’s Disease Patient: a Case Report

Multimodal therapy, used for the treatment of patients with Hodgkin’s disease (HD), makes them prone to life-threatening infections, attributed mainly to febrile neutropenia. Herein, we present a case report of fatal combined bacterial and viral infection in a 49-year-old female patient, subject to...

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Veröffentlicht in:Folia medica 2019-12, Vol.61 (4), p.620-623
Hauptverfasser: Kalchev, Yordan I, Lengerova, Gergana B, Asif, Uswah, Burnusuzov, Hasan A, Murdjeva, Marianna A
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container_end_page 623
container_issue 4
container_start_page 620
container_title Folia medica
container_volume 61
creator Kalchev, Yordan I
Lengerova, Gergana B
Asif, Uswah
Burnusuzov, Hasan A
Murdjeva, Marianna A
description Multimodal therapy, used for the treatment of patients with Hodgkin’s disease (HD), makes them prone to life-threatening infections, attributed mainly to febrile neutropenia. Herein, we present a case report of fatal combined bacterial and viral infection in a 49-year-old female patient, subject to polychemotherapy for HD. Rapid microbiological diagnosis performed by multiplex polymerase chain reaction elucidated the causes of the infection within hours. Listeria monocytogenes was detected in both the cerebrospinal fluid and blood samples. Nasopharyngeal swabs returned positive for two swine-derived strains of influenza A virus. We aimed to emphasize the importance of these pathogens and draw attention to their association in the aetiology of infections among patients receiving chemotherapy. In conclusion, better surveillance is needed to improve the early diagnosis of infectious complications in these patients.
doi_str_mv 10.3897/folmed.61.e47811
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subjects Antibiotics
Bacteria
Bacterial infections
Case reports
Chemotherapy
Disease
Encephalitis
Fever
Immune system
Immunoglobulins
Infections
Influenza
Listeria
Lymphoma
Meningitis
Morbidity
Mortality
Neutropenia
Neutrophils
Pathogens
Patients
Sepsis
Surveillance
Viral infections
Viruses
title Fatal Chemotherapy-induced Combined Infection in a Hodgkin’s Disease Patient: a Case Report
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