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  1. 広島大学の刊行物
  2. Hiroshima Journal of Medical Sciences
  3. 69巻2号

Streptococcus gallolyticus ssp. pasteurianus bacteremia during chemotherapy-induced neutropenia in a patient with malignant lymphoma

https://hiroshima.repo.nii.ac.jp/records/2013801
https://hiroshima.repo.nii.ac.jp/records/2013801
093cabe7-f7cb-45c9-ab50-4e3a27db33cb
名前 / ファイル ライセンス アクション
HiroshimaJMedSci_69_47.pdf HiroshimaJMedSci_69_47.pdf (5.5 MB)
Item type デフォルトアイテムタイプ_(フル)(1)
公開日 2023-03-18
タイトル
タイトル Streptococcus gallolyticus ssp. pasteurianus bacteremia during chemotherapy-induced neutropenia in a patient with malignant lymphoma
言語 en
作成者 EDAHIRO, Tarou

× EDAHIRO, Tarou

en EDAHIRO, Tarou

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MORIOKA, Takehiko

× MORIOKA, Takehiko

en MORIOKA, Takehiko

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TOISHIGAWA, Kayo

× TOISHIGAWA, Kayo

en TOISHIGAWA, Kayo

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NAGOSHI, Hisao

× NAGOSHI, Hisao

en NAGOSHI, Hisao

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KAWASE, Takakazu

× KAWASE, Takakazu

en KAWASE, Takakazu

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FUKUSHIMA, Noriyasu

× FUKUSHIMA, Noriyasu

en FUKUSHIMA, Noriyasu

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ICHINOHE, Tatsuo

× ICHINOHE, Tatsuo

en ICHINOHE, Tatsuo

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
権利情報 Copyright (c) 2020 Hiroshima University Medical Press
主題
主題Scheme Other
主題 Streptococcus gallolyticus ssp. pasteurianus
主題
主題Scheme Other
主題 febrile neutropenia
主題
主題Scheme Other
主題 malignant lymphoma
内容記述
内容記述 Background: Streptococcus gallolyticus ssp. pasteurianus is a commensal bacterium of the alimentary tract in humans and animals. This microorganism not only causes sepsis, endocarditis, and meningitis but is also associated with colorectal tumors. We report herein a rare case of S. gallolyticus ssp. pasteurianus bacteremia in a patient with concomitant colon cancer and aggressive malignant lymphoma during the neutropenic period after chemotherapy against lymphoma. Case presentation: A 79-year-old man was found to have an adenoma in the ascending colon, and endoscopic mucosal resection (EMR) was planned to remove the lesion. However, he was diagnosed with diffuse large B-cell lymphoma during the pre-operation examination. The EMR was postponed, and he received rituximab, cyclophosphamide, etoposide, vincristine, and prednisolone (R-CEOP). He had a neutropenic fever with positive blood cultures for S. gallolyticus ssp. pasteurianus during the first course of R-CEOP. He improved as soon as cefepime was administered. Bacteremia did not recur thereafter, and he underwent EMR after completing six cycles of R-CEOP. The histological diagnosis of the colon tumor was well-differentiated adenocarcinoma in adenoma. Streptococcus gallolyticus ssp. pasteurianus was not detected in the culture of the resected tissue. Conclusion: Although there have been few reports of bloodstream infection due to S. gallolyticus ssp. pasteurianus in patients with hematological malignancies undergoing cytotoxic chemotherapy, physicians should investigate the presence of coexisting colorectal tumors when this bacterium is isolated from blood cultures.
言語 en
出版者
出版者 Hiroshima University Medical Press
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
関連情報
識別子タイプ DOI
関連識別子 10.24811/hjms.69.2_47
関連情報
識別子タイプ DOI
関連識別子 https://doi.org/10.24811/hjms.69.2_47
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 0018-2052
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 2433-7668
収録物識別子
収録物識別子タイプ NCID
収録物識別子 AA00664312
開始ページ
開始ページ 47
書誌情報 Hiroshima Journal of Medical Sciences
Hiroshima Journal of Medical Sciences

巻 69, 号 2, p. 47-50, 発行日 2020-06-30
旧ID 49781
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