Disseminated Rhizomucor pusillus causing early multiorgan failure during hematopoietic stem cell transplantation for severe aplastic anemia

Matched sibling donor hematopoietic stem cell transplantation is the standard of care for severe aplastic anemia, with an overall survival of 80% to 90%. Only 60% to 70% of patients respond to treatment with immunosuppressive therapy. The main life threatening complications are infections, graft fai...

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Veröffentlicht in:Journal of pediatric hematology/oncology 2011-04, Vol.33 (3), p.235-237
Hauptverfasser: Rawlinson, Neil J, Fung, Bonita, Gross, Thomas G, Termuhlen, Amanda M, Skeens, Micah, Garee, Amy, Soni, Sandeep, Pietryga, Daniel, Bajwa, Rajinder P S
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container_end_page 237
container_issue 3
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container_title Journal of pediatric hematology/oncology
container_volume 33
creator Rawlinson, Neil J
Fung, Bonita
Gross, Thomas G
Termuhlen, Amanda M
Skeens, Micah
Garee, Amy
Soni, Sandeep
Pietryga, Daniel
Bajwa, Rajinder P S
description Matched sibling donor hematopoietic stem cell transplantation is the standard of care for severe aplastic anemia, with an overall survival of 80% to 90%. Only 60% to 70% of patients respond to treatment with immunosuppressive therapy. The main life threatening complications are infections, graft failure, and graft versus host disease. A 10-year-old patient with severe aplastic anemia underwent matched sibling donor hematopoietic stem cell transplantation, but developed sudden onset of fatal multiorgan failure on day +12. The cause of death was found only after autopsy.
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subjects Amphotericin B - therapeutic use
Anemia, Aplastic - surgery
Child
Female
Hematopoietic Stem Cell Transplantation - adverse effects
Humans
Mucormycosis - complications
Mucormycosis - drug therapy
Multiple Organ Failure - etiology
Pyrimidines - therapeutic use
Rhizomucor
Triazoles - therapeutic use
Voriconazole
title Disseminated Rhizomucor pusillus causing early multiorgan failure during hematopoietic stem cell transplantation for severe aplastic anemia
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