Knowledge (XXG)

Neutropenic enterocolitis

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37: 230:"...The authors have found nonoperative treatment highly effective in patients who do not manifest signs of peritonitis, perforation, gastrointestinal hemorrhage, or clinical deterioration. Recurrent typhlitis was frequent after conservative therapy (recurrence rate, 67 percent), however," as based on studies from the 1980s. 254:
Historically, the mortality rate for typhlitis was as high as 50%, mostly because it is frequently associated with bowel perforation. More recent studies have demonstrated better outcomes with prompt medical management, generally with resolution of symptoms with neutrophil recovery without death .
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In rare cases of prolonged neutropenia and complications such as bowel perforation, neutrophil transfusions can be considered but have not been studied in a randomized control trial. Elective right hemicolectomy may be used to prevent recurrence but is generally not recommended.
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Inflammation can spread to other parts of the gut in patients with typhlitis. The condition can also cause the cecum to become distended and can cut off its blood supply. This and other factors can result in
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is a species of Gram-positive bacteria that commonly causes severe diarrhea and other intestinal diseases when competing bacteria are wiped out by antibiotics, causing pseudomembranous colitis, whereas
1428: 209:, particularly if associated with pneumatosis intestinalis (air in the bowel wall) and/or bowel perforation, and has significant morbidity unless promptly recognized and aggressively treated. 606: 1110: 705: 744: 457:
Shafey, A; et al. (October 2013). "Incidence, risk factors, and outcomes of enteritis, typhlitis, and colitis in children with acute leukemia".
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Keidan RD, Fanning J, Gatenby RA, Weese JL (Mar 1989). "Recurrent typhlitis. A disease resulting from aggressive chemotherapy".
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Empiric antibiotics, particularly if the patient is neutropenic or at other risk of infection.
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Early diagnosis provided by a high index of suspicion and the use of CT scanning
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and requires prompt management. Untreated typhlitis has a poor
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is responsible for most cases of neutropenic enterocolitis.
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showing thickening of the cecum and "fat stranding".
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It is particularly associated with 7: 284:Definition at thefreedictionary.com 169:patients, such as those undergoing 132:The condition is usually caused by 165:Typhlitis most commonly occurs in 14: 1858:Spontaneous bacterial peritonitis 1705:Exocrine pancreatic insufficiency 60:, also known as typhlitis, is an 1603:Secondary sclerosing cholangitis 212:Successful treatment hinges on: 844:Gastric antral vascular ectasia 839:Portal hypertensive gastropathy 716:Gastroesophageal reflux disease 1598:Primary sclerosing cholangitis 1448:Hepatic veno-occlusive disease 1270:Solitary rectal ulcer syndrome 72:) that may be associated with 1: 1655:Sphincter of Oddi dysfunction 1564:Postcholecystectomy syndrome 1083:Intestinal pseudoobstruction 691:Esophageal motility disorder 471:10.1097/MPH.0b013e31829f3259 300:Stoer TM, Koslin DB (2004). 122:abdominal pain or tenderness 1911: 1549:Gallstone / Cholelithiasis 1073:Functional colonic disease 869:Zollinger–Ellison syndrome 181:patients, or the elderly. 750:Acute esophageal necrosis 84:(the most common form of 58:Neutropenic enterocolitis 34: 22:Neutropenic enterocolitis 849:Gastric dumping syndrome 724:Laryngopharyngeal reflux 711:Diffuse esophageal spasm 154:Clostridioides difficile 1465:Alcoholic liver disease 998:Bile acid malabsorption 942:Peptic (duodenal) ulcer 459:J Pediatr Hematol Oncol 82:neutrophil granulocytes 1895:Diseases of intestines 1475:Hepatic encephalopathy 859:Buried bumper syndrome 790:Peptic (gastric) ulcer 674:Mallory–Weiss syndrome 617:human digestive system 435:10.1038/sj.bmt.1702134 1700:Pancreatic pseudocyst 1569:Porcelain gallbladder 681:Zenker's diverticulum 1504:Hepatorenal syndrome 1443:Budd–Chiari syndrome 1400:Autoimmune hepatitis 1225:Intestinal adhesions 983:Short bowel syndrome 812:Functional dyspepsia 730:Esophageal stricture 696:Nutcracker esophagus 345:10.1136/jcp.37.3.335 160:Clostridium septicum 1643:Choledocholithiasis 1514:Metabolic disorders 1480:Acute liver failure 1453:Portal hypertension 1405:Alcoholic hepatitis 1248:Radiation proctitis 1167:Mesenteric ischemia 1139:Gastroenterocolitis 968:Blind loop syndrome 778:MĂ©nĂ©trier's disease 686:Barrett's esophagus 302:"Typhlitis Imaging" 1818:Undefined location 1809:Grynfeltt–Lesshaft 1710:Pancreatic fistula 1693:Pancreatic abscess 1648:Biliary dyskinesia 1619:Mirizzi's syndrome 1120:Large and/or small 800:Dieulafoy's lesion 669:Boerhaave syndrome 559:External resources 395:10.1007/BF02554529 92:Signs and symptoms 1882: 1881: 1878: 1877: 1718: 1717: 1320: 1319: 1177:Bowel obstruction 879: 878: 582: 581: 203:medical emergency 179:kidney transplant 173:, patients with 167:immunocompromised 102:distended abdomen 86:white blood cells 80:, a low level of 55: 54: 16:Medical condition 1902: 1870:Pneumoperitoneum 1727: 1637:Common bile duct 1519:Wilson's disease 1509:Peliosis hepatis 1378: 1255:Proctalgia fugax 1162:Abdominal angina 1087:Ogilvie syndrome 1036:Pseudomembranous 894: 854:Gastric volvulus 819:Pyloric stenosis 630: 615:Diseases of the 609: 602: 595: 586: 495: 483: 482: 454: 448: 447: 437: 413: 407: 406: 383:Dis Colon Rectum 378: 367: 366: 356: 324: 318: 317: 315: 313: 297: 286: 281: 88:) in the blood. 39: 19: 1910: 1909: 1905: 1904: 1903: 1901: 1900: 1899: 1885: 1884: 1883: 1874: 1839: 1828:Internal hernia 1714: 1659: 1624:Biliary fistula 1582: 1573: 1559:Adenomyomatosis 1554:Cholesterolosis 1530: 1524:Hemochromatosis 1395:Viral hepatitis 1367: 1316: 1274: 1260:Rectal prolapse 1229: 1196:Fecal impaction 1186:Intussusception 1149:Crohn's disease 1115: 1098:Toxic megacolon 1010: 1008:Large intestine 1002: 947:Curling's ulcer 900: 898:Small intestine 887: 875: 783:Gastroenteritis 754: 619: 613: 583: 578: 577: 554: 553: 506: 492: 487: 486: 456: 455: 451: 415: 414: 410: 380: 379: 370: 326: 325: 321: 311: 309: 299: 298: 289: 282: 278: 273: 261: 236: 201:Typhlitis is a 199: 187: 130: 94: 70:large intestine 50:General surgery 17: 12: 11: 5: 1908: 1906: 1898: 1897: 1887: 1886: 1880: 1879: 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498:Classification 491: 490:External links 488: 485: 484: 449: 408: 368: 319: 287: 275: 274: 272: 269: 268: 267: 260: 257: 235: 232: 224: 223: 220: 217: 198: 195: 186: 183: 129: 126: 93: 90: 53: 52: 47: 41: 40: 32: 31: 28: 24: 23: 15: 13: 10: 9: 6: 4: 3: 2: 1907: 1896: 1893: 1892: 1890: 1871: 1868: 1866: 1863: 1859: 1856: 1855: 1854: 1851: 1850: 1848: 1846: 1842: 1834: 1831: 1829: 1826: 1824: 1821: 1820: 1819: 1816: 1815: 1810: 1807: 1805: 1802: 1801: 1800: 1799: 1795: 1794: 1791: 1788: 1786: 1783: 1781: 1778: 1776: 1773: 1769: 1766: 1764: 1761: 1760: 1759: 1756: 1755: 1752: 1749: 1745: 1742: 1741: 1740: 1739:Diaphragmatic 1737: 1736: 1734: 1732: 1728: 1725: 1721: 1711: 1708: 1706: 1703: 1701: 1698: 1694: 1691: 1689: 1686: 1684: 1681: 1679: 1676: 1675: 1674: 1671: 1670: 1668: 1666: 1662: 1656: 1653: 1649: 1646: 1644: 1641: 1640: 1639: 1638: 1634: 1633: 1630: 1627: 1625: 1622: 1620: 1616: 1613: 1609: 1606: 1604: 1601: 1599: 1596: 1595: 1594: 1591: 1590: 1588: 1586: 1580: 1576: 1570: 1567: 1565: 1562: 1560: 1557: 1555: 1552: 1550: 1547: 1545: 1544:Cholecystitis 1542: 1541: 1539: 1537: 1533: 1525: 1522: 1520: 1517: 1516: 1515: 1512: 1510: 1507: 1505: 1502: 1498: 1495: 1493: 1490: 1489: 1488: 1487:Liver abscess 1485: 1481: 1478: 1476: 1473: 1472: 1471: 1470:Liver failure 1468: 1466: 1463: 1459: 1456: 1454: 1451: 1449: 1446: 1444: 1441: 1440: 1439: 1438: 1434: 1430: 1427: 1426: 1425: 1422: 1418: 1415: 1414: 1413: 1410: 1406: 1403: 1401: 1398: 1396: 1393: 1392: 1391: 1388: 1387: 1385: 1383: 1379: 1376: 1374: 1370: 1362: 1359: 1358: 1357: 1354: 1350: 1347: 1345: 1342: 1341: 1340: 1337: 1335: 1332: 1331: 1329: 1327: 1323: 1313: 1310: 1308: 1305: 1303: 1300: 1298: 1295: 1293: 1289: 1286: 1285: 1283: 1281: 1277: 1271: 1268: 1266: 1263: 1261: 1258: 1256: 1253: 1249: 1246: 1245: 1244: 1241: 1240: 1238: 1236: 1232: 1226: 1223: 1219: 1216: 1215: 1214: 1211: 1207: 1204: 1203: 1202: 1199: 1197: 1194: 1192: 1189: 1187: 1184: 1182: 1178: 1175: 1173: 1170: 1168: 1165: 1163: 1159: 1158: 1154: 1150: 1147: 1146: 1145: 1142: 1140: 1137: 1133: 1130: 1129: 1128: 1127:Enterocolitis 1125: 1124: 1122: 1118: 1112: 1108: 1104: 1101: 1099: 1095: 1092: 1088: 1084: 1081: 1079: 1076: 1075: 1074: 1071: 1069: 1066: 1062: 1059: 1057: 1054: 1052: 1049: 1047: 1044: 1042: 1039: 1037: 1034: 1033: 1032: 1029: 1027: 1024: 1023: 1021: 1018: 1014: 1009: 1005: 999: 996: 994: 991: 989: 986: 984: 981: 979: 976: 974: 971: 969: 966: 964: 961: 959: 955: 954:Malabsorption 952: 948: 945: 944: 943: 940: 936: 933: 931: 928: 926: 923: 922: 921: 918: 917: 915: 912: 908: 904: 899: 895: 892: 890: 886: 882: 870: 867: 866: 865: 862: 860: 857: 855: 852: 850: 847: 845: 842: 840: 837: 835: 832: 830: 829:Gastroparesis 827: 825: 822: 820: 817: 813: 810: 809: 808: 805: 801: 798: 796: 795:Cushing ulcer 793: 792: 791: 788: 784: 781: 779: 776: 774: 771: 770: 769: 766: 765: 763: 761: 757: 751: 748: 746: 743: 741: 740:Megaesophagus 738: 736: 733: 731: 728: 725: 722: 717: 714: 712: 709: 707: 704: 702: 699: 697: 694: 693: 692: 689: 687: 684: 682: 679: 675: 672: 670: 667: 666: 665: 662: 658: 655: 653: 650: 648: 645: 644: 643: 640: 639: 637: 635: 631: 628: 626: 622: 618: 610: 605: 603: 598: 596: 591: 590: 587: 574: 570: 569: 565: 564: 561: 557: 550: 546: 545: 541: 539: 535: 534: 530: 528: 525: 522: 518: 517: 513: 509: 508: 505: 500: 496: 489: 480: 476: 472: 468: 464: 460: 453: 450: 445: 441: 436: 431: 427: 423: 419: 412: 409: 404: 400: 396: 392: 388: 384: 377: 375: 373: 369: 364: 360: 355: 350: 346: 342: 339:(3): 335–43. 338: 334: 333:J Clin Pathol 330: 323: 320: 307: 303: 296: 294: 292: 288: 285: 280: 277: 270: 266: 263: 262: 258: 256: 252: 250: 246: 242: 233: 231: 228: 221: 218: 215: 214: 213: 210: 208: 204: 196: 194: 192: 184: 182: 180: 176: 172: 168: 163: 161: 156: 155: 150: 146: 142: 139: 135: 134:Gram-positive 127: 125: 123: 119: 115: 111: 107: 103: 99: 91: 89: 87: 83: 79: 75: 71: 68:(part of the 67: 63: 59: 51: 48: 46: 42: 38: 33: 29: 25: 20: 1817: 1796: 1673:Pancreatitis 1635: 1585:biliary tree 1458:Nutmeg liver 1435: 1361:Hematochezia 1312:Pruritus ani 1297:Anal abscess 1292:Anal fistula 1288:Anal fissure 1201:Constipation 1155: 1026:Appendicitis 834:Gastroptosis 824:Achlorhydria 663: 652:Eosinophilic 566: 542: 531: 510: 465:(7): 514–7. 462: 458: 452: 425: 421: 411: 389:(3): 206–9. 386: 382: 336: 332: 322: 312:September 3, 310:. Retrieved 305: 279: 253: 237: 229: 225: 211: 200: 188: 171:chemotherapy 164: 152: 131: 95: 62:inflammation 57: 56: 1853:Peritonitis 1615:Cholestasis 1593:Cholangitis 1536:Gallbladder 1424:Fatty liver 1344:Hematemesis 1326:GI bleeding 1132:Necrotizing 1061:Lymphocytic 1056:Collagenous 1051:Microscopic 988:Steatorrhea 889:Enteropathy 735:Inlet patch 657:Herpetiform 642:Esophagitis 308:. WebMD LLC 245:peritonitis 78:neutropenia 27:Other names 1845:Peritoneal 1823:Incisional 1744:Congenital 1688:Hereditary 1665:Pancreatic 1629:Haemobilia 1302:Hemorrhoid 1280:Anal canal 1218:Infectious 1206:Functional 1041:Ulcerative 925:Duodenitis 864:Gastrinoma 544:DiseasesDB 271:References 1833:Richter's 1790:Spigelian 1785:Obturator 1775:Umbilical 1608:Ascending 1579:Bile duct 1412:Cirrhosis 1390:Hepatitis 1373:Accessory 1243:Proctitis 1094:Megacolon 1068:Dysentery 978:Whipple's 930:Jejunitis 920:Enteritis 807:Dyspepsia 768:Gastritis 701:Achalasia 634:Esophagus 573:radio/869 568:eMedicine 234:Prognosis 207:prognosis 197:Treatment 185:Diagnosis 149:gut flora 138:commensal 74:infection 45:Specialty 1889:Category 1763:Indirect 1758:Inguinal 1492:Pyogenic 1437:Vascular 1213:Diarrhea 1191:Volvulus 1157:Vascular 1096: / 1085: / 1046:Ischemic 1013:Appendix 903:Duodenum 773:Atrophic 647:Candidal 479:23823116 444:10673706 306:Medscape 259:See also 241:necrosis 141:bacteria 136:enteric 118:vomiting 98:diarrhea 1804:Petit's 1780:Femoral 1683:Chronic 1497:Amoebic 1265:Anismus 1031:Colitis 958:Coeliac 935:Ileitis 907:Jejunum 760:Stomach 664:Rupture 538:D020345 403:2920627 363:6699196 265:Colitis 191:CT scan 143:of the 64:of the 1798:Lumbar 1768:Direct 1751:Hiatus 1731:Hernia 1583:Other 1349:Melena 1235:Rectum 718:(GERD) 477:  442:  422:Nature 401:  361:  354:498711 351:  249:sepsis 120:, and 114:nausea 110:chills 1723:Other 1678:Acute 1429:MASLD 1382:Liver 1356:Lower 1339:Upper 1181:Ileus 1017:Colon 911:Ileum 726:(LPR) 549:31505 524:540.9 521:540.0 128:Cause 106:fever 66:cecum 1111:SCAD 533:MeSH 516:9-CM 475:PMID 440:PMID 399:PMID 359:PMID 314:2016 247:and 175:AIDS 151:). 100:, a 1417:PBC 1144:IBD 1078:IBS 527:541 512:ICD 467:doi 430:doi 391:doi 349:PMC 341:doi 145:gut 1891:: 1581:/ 1179:: 1160:: 956:: 571:: 547:: 536:: 519:: 473:. 463:35 461:. 438:. 426:25 424:. 420:. 397:. 387:32 385:. 371:^ 357:. 347:. 337:37 335:. 331:. 304:. 290:^ 251:. 177:, 124:. 116:, 112:, 108:, 104:, 1617:/ 1290:/ 1109:/ 1105:/ 1019:) 1015:/ 1011:( 913:) 909:/ 905:/ 901:( 608:e 601:t 594:v 514:- 504:D 481:. 469:: 446:. 432:: 405:. 393:: 365:. 343:: 316:. 147:(

Index


Specialty
General surgery
inflammation
cecum
large intestine
infection
neutropenia
neutrophil granulocytes
white blood cells
diarrhea
distended abdomen
fever
chills
nausea
vomiting
abdominal pain or tenderness
Gram-positive
commensal
bacteria
gut
gut flora
Clostridioides difficile
Clostridium septicum
immunocompromised
chemotherapy
AIDS
kidney transplant
CT scan
medical emergency

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