Bacillus cereus septicemia in a patient with acute lymphoblastic leukemia: A case report and review of the literature.
Bacillus cereus is an aerobic Gram-positive, spore-forming, rod-shaped bacterium that is responsible for foodborne illnesses. We report on a 15-year-old girl with B-cell acute lymphoblastic leukemia, who fell into a somnolent state after presenting with a 12-hour history of fever, muscle soreness, myalgia in both calves, sore throat, and vomiting. Fulminant septicemic syndrome caused by B. cereus was finally identified. The aim of this work is the introduction of B. cereus as a differential diagnosis of sepsis in patients with acute leukemia in induction chemotherapy, to prevent delayed treatment.
Department of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Ya-Ling
YL
Chou
Department of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Shin-Nan
SN
Cheng
Department of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Kao-Hsian
KH
Hsieh
Department of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Chih-Chien
CC
Wang
Department of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Shyi-Jou
SJ
Chen
Department of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan. Electronic address: drluoped@yahoo.com.tw.
Wen-Tsung
WT
Lo
D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001409:Bacillus cereus / Q000302:isolation & purification*; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D060828:Induction Chemotherapy; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000188:drug therapy*; D018805:Sepsis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology* / Q000401:mortality
D000900:Anti-Bacterial Agents
Acute leukemia; Bacillus cereus; Fulminant septicemic syndrome