[Septic shock and necrotizing fasciitis due to Aeromonas hydrophila after chemotherapy in a patient with mantle cell lymphoma accompanied by liver cirrhosis].
A 78-year-old man with liver cirrhosis was admitted to our hospital because of persistent diarrhea and abdominal pain. Colonoscopy revealed erosions and submucosal tumors in portions of the sigmoid colon and rectum, which were diagnosed as mantle cell lymphoma with biopsy. After chemotherapy consisting of vincristine and prednisone, he developed Aeromonas hydrophila septicemia, resulting in septic shock and necrotizing fasciitis despite prescribing antimicrobial agents to which this organism was susceptible. Whenever we intend to treat patients with hematological malignancies and an underlying chronic liver disease, we must keep this bacterium in mind.
Department of Hematology, Juntendo University School of Medicine.
Masaru
M
Tanaka
Naoki
N
Watanabe
Yasuo
Y
Aota
Jun
J
Ando
Akihiko
A
Gotoh
Norio
N
Komatsu
D016980:Aeromonas hydrophila; D000368:Aged; D019115:Fasciitis, Necrotizing / Q000209:etiology*; D017809:Fatal Outcome; D016905:Gram-Negative Bacterial Infections / Q000150:complications*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications; D020522:Lymphoma, Mantle-Cell / Q000150:complications / Q000188:drug therapy*; D008297:Male; D012772:Shock, Septic / Q000209:etiology*