Graft failure of autologous peripheral blood stem cell transplantation due to acute metabolic acidosis associated with total parenteral nutrition in a patient with relapsed breast cancer.
A 32-year-old female had been diagnosed as having relapsed breast cancer and liver metastasis. She underwent high-dose chemotherapy followed by autologous peripheral blood stem cell transplantation (PBSCT) with 5.8 x 10(6)/kg CD34+ cells. She was supported by total parenteral nutrition (TPN) without vitamins throughout these therapies. Hematopoietic recovery was not observed by day 28 after PBSCT, necessitating a second PBSCT on day 29 using the back-up material of 4.4 x 10(6)/kg CD34+ cells. On the next day, she suddenly developed severe metabolic acidosis, heart failure and deep coma. After immediate infusion of thiamine, heart failure and coma rapidly improved. The neutrophil count reached 0.5 x 10(9)/l on day 9 and the platelet count 50 x 10(9)/l on day 15 after the second PBSCT. This is a rare graft failure due to acute metabolic acidosis or thiamine deficiency associated with TPN.
Sawada
M
M
First Department of Internal Medicine, Gifu University School of Medicine, Gifu, Japan.
Tsurumi
H
H
Hara
T
T
Goto
H
H
Yamada
T
T
Oyama
M
M
Moriwaki
H
H
D000138:Acidosis / Q000209:etiology*; D000208:Acute Disease; D000328:Adult; D001943:Breast Neoplasms / Q000150:complications* / Q000628:therapy; D005260:Female; D006085:Graft Survival; D018380:Hematopoietic Stem Cell Transplantation / Q000009:adverse effects*; D006801:Humans; D010288:Parenteral Nutrition / Q000009:adverse effects*; D012008:Recurrence; D014182:Transplantation, Autologous