Tuberculosis-Associated Fatal Hemophagocytic Syndrome in a Patient with Lymphoma Treated with Fludarabine
Autor: | Alejandro Ruiz-Argüelles, Javier Garcés-Eisele, Sergio Sanchez-Sosa, Guillermo J. Ruiz-Argüelles, Daniel Arizpe-Bravo, Samuel Ponce-de-León |
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Rok vydání: | 1998 |
Předmět: |
Adult
Cancer Research medicine.medical_specialty Miliary tuberculosis Tuberculosis Histiocytosis Non-Langerhans-Cell Antineoplastic Agents Gastroenterology Fatal Outcome Prednisone Internal medicine medicine Humans Chlorambucil business.industry Lymphoma Non-Hodgkin Complete remission Hematology medicine.disease Fludarabine Lymphoma Oncology Immunology Female Complication business Immunosuppressive Agents Vidarabine medicine.drug |
Zdroj: | Leukemia & Lymphoma. 28:599-602 |
ISSN: | 1029-2403 1042-8194 |
DOI: | 10.3109/10428199809058369 |
Popis: | A patient with a stage IV high-grade non-Hodgkin's lymphoma who developed a fatal hemophagocytic syndrome is presented: When the patient had achieved complete remission and receiving fludarabine and chlorambucil/prednisone, she developed miliary tuberculosis, the CD4+ T-cell count then being 50/microL; the hemophagocytic syndrome ensuing at this point was fatal. Speculations about the predisposing factors that could have led to this complication are discussed focusing on the severe cellular immunosuppression which developed probably related to the use of fludafabine: it could be useful in the future to use anti-tuberculous prophylaxis in selected patients treated with this purine nucleoside analog. |
Databáze: | OpenAIRE |
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