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©2006 Baishideng Publishing Group Co.
World J Gastroenterol. Mar 7, 2006; 12(9): 1397-1402
Published online Mar 7, 2006. doi: 10.3748/wjg.v12.i9.1397
Published online Mar 7, 2006. doi: 10.3748/wjg.v12.i9.1397
Table 1 Frequency of clinical symptoms, laboratory, and microbiological findings in 14 patients with neutropenic enterocolitis.
Clinical symptoms | Frequency |
Abdominal pain | 14 (100%) |
Fever | 14 (100%) |
Diarrhea | 10 (71.4%) |
Hypotension | 3 (21.4%) |
Right lower quadrant pain | 10 (71.4%) |
Peritonism | 6 (42.9%) |
Abdominal distension | 10 (71.4%) |
Vomiting | 9 (64.3%) |
Bloody diarrhea | 6 (42.9%) |
Ileus | 6 (42.9%) |
Reduced clinical condition | 12 (85.7%) |
Palpable resistance | 7 (50%) |
Daily bowel movements | 4 (1-7) |
Laboratory findings | |
C-reactive protein [mg/dL] | 26.3 (6.6-64.0) |
Haemoglobin [g/dL] | 9.1 (6.9-11.4) |
Haematocrit [%] | 25.8 (21.1-33.9) |
Platelets [/nL] | 33 (19-43) |
Microbiological findings | 6 patients with negative cultures 3 patients with Streptococcus epidermidis in blood culture 2 patients with Enterococcus in blood culture 1 patient with Pseudomonas aeroginosa in blood culture 1 patient with Streptococcus, Enterobacteriaceae, Enterococcus, and Escherichia coli in blood culture 1 patient1 with Candida albicans in bronchio¬alveolar lavage, Candida glabrata and Entero¬coccus faecium in blood culture, Pseudomonas aeroginosa and Candida albicans in urine culture |
Table 2 Sonographic findings in 14 patients with neutropenic enterocolitis (frequency of findings or median and ranges are given)
Localisation of inflammation | 13 in ileocoecal region |
1 in ileocoecal region And colon transversum | |
Pattern of inflammation | 10 transmural |
4 mural | |
Longitudinal extension of inflammation | 5-15 cm in all 14 patients |
Bowel wall Thickening (mm) | 12 (10-20) |
Ascites | 11 of14 |
Hypervascularisation | 84.61%(13/14) |
Fistula | None |
Abscess | None |
Table 3 Clinical features of neutropenic colitis (review of the literature)
Abdominal pain | Fever | Diarrhea | Peritonism | Bloody diarrhea | Numberof patients | References |
+ | + | + | 3 | Abbasoglu et al. [27] | ||
+ | + | + | 3 | Alexander et al.[22] | ||
+ | 2 | Alt et al. [7] | ||||
+ | + | 2 | Avigan et al. [5] | |||
+ | + | + | 6 | Benz et al.[17] | ||
+ | + | + | (+) | 3 | Boggio et al. [29] | |
+ | + | + | 1 | Capria et al. [30] | ||
+ | + | + | (+) | (+) | 44 | Cartoni et al. [10] |
+ | + | + | 1 | Coleman et al.[31] | ||
+ | + | 1 | Dudiak et al. [9] | |||
+ | + | 4 | Frick et al.[23] | |||
+ | 1 | Frankel et al. [32] | ||||
+ | + | + | + | 2 | Furonaka et al. [19] | |
+ | + | 2 | Gandy et al. [25] | |||
+ | + | + | + | 1 | Glass-Royal et al. [33] | |
+ | + | + | (+) | (+) | 18 | Gomez et al. [34] |
+ | + | + | 3 | Hammerstrom et al.[35] | ||
+ | + | 1 | Hopkins et al. [36] | |||
+ | + | + | 9 | Hsu et al. [37] | ||
+ | (+) | (+) | (+) | (+) | 11 | Jain et al. [38] |
+ | + | 3 | Koea et al. [26] | |||
+ | + | + | + | + | 5 | Koroussis et al. [18] |
+ | + | + | 1 | Kronawitter et al. [39] | ||
+ | + | 2 | Lev et al. [20] | |||
+ | + | + | 4 | Mulholland et al. [40] | ||
+ | 2 | Newbold et al. [6] | ||||
+ | + | + | + | 1 | Rexroth et al.[2] | |
+ | + | 1 | Rodgers et al. [41] | |||
+ | + | (+) | (+) | (+) | 25 | Shamberger et al. [15] |
+ | + | 1 | Shandera et al. [42] | |||
+ | 14 | Song et al. [43] | ||||
+ | + | + | + | 1 | Thaler et al. [44] | |
+ | + | + | 1 | Verbeeck et al. [45] | ||
+ | + | + | (+) | (+) | 6 | Wach et al. [28] |
+ | + | (+) | 22 | Wade et al. [46] | ||
+ | + | + | 2 | Weinberger et al. [47] |
- Citation: Dietrich CF, Hermann S, Klein S, Braden B. Sonographic signs of neutropenic enterocolitis. World J Gastroenterol 2006; 12(9): 1397-1402
- URL: https://www.wjgnet.com/1007-9327/full/v12/i9/1397.htm
- DOI: https://dx.doi.org/10.3748/wjg.v12.i9.1397