Do Not Forget About the Ticks: An Unusual Cause of Fever, GI Distress, and Cytopenias in a Child With ALL.
| Autor: | Ungar SP; Division of Pediatric Infectious Diseases, Department of Pediatrics., Varkey J; Division of Pediatric Hematology/Oncology, Department of Pediatrics., Pierro J; Division of Hematology/Oncology, Department of Pediatrics, Northwell Health, Staten Island University Hospital, New York, NY., Raetz E; Division of Pediatric Hematology/Oncology, Department of Pediatrics., Ratner AJ; Division of Pediatric Infectious Diseases, Department of Pediatrics.; Department of Microbiology, NYU Grossman School of Medicine. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Journal of pediatric hematology/oncology [J Pediatr Hematol Oncol] 2022 Jul 01; Vol. 44 (5), pp. e901-e904. Date of Electronic Publication: 2021 Dec 22. |
| DOI: | 10.1097/MPH.0000000000002369 |
| Abstrakt: | We report the case of a 5-year-old male with B-cell acute lymphoblastic leukemia in remission, receiving maintenance chemotherapy, who presented with fever, emesis, diarrhea, headache, and lethargy. He developed rapidly progressive cytopenias and was found to have acute human granulocytic anaplasmosis as well as evidence of past infection with Babesia microti. The case highlights the need to maintain a broad differential for infection in children undergoing chemotherapy or other immunosuppressive therapies with possible or known tick exposure. Competing Interests: A.J.R. has served as a consultant to Pfizer outside the scope of this manuscript. E.R. receives research funding from Pfizer and serves on a DSMB for Celgene outside the scope of this manuscript. The remaining authors declare no conflict of interest. (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|