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Title :Giant Septic Lymphadenitis with Marked Gas Formation Caused by Bacteroides fragilis in a Patient with Adult T-cell Leukemia/lymphoma
Authors :Tomoyose, Takeaki
Nakachi, Sawako
Nishi, Yukiko
Morichika, Kazuho
Tedokon, Iori
Tamaki, Keita
Shimabukuro, Natsuki
Hanashiro, Taeko
Samura, Hironori
Fukushima, Takuya
Masuzaki, Hiroaki
Issue Date :2015
Abstract :Adult T-cell leukemia/lymphoma (ATL) sometimes causes opportunistic infections. A 53-year-old woman with systemic lymphadenopathies was diagnosed with ATL by inguinal lymph node biopsies and underwent oral chemotherapy. Two months later, high grade fever, lower abdominal pain and lymphadenopathy recurred. Computed tomography revealed the presence of lymphadenopathy with marked gas formation in the pelvic lesion. Blood cultures were suggestive of septic lymphadenitis by Bacteroides fragilis (BF). This represents the first demonstration of giant lymphadenitis with gas formation caused by BF in a patient with ATL. Notably, septic lymphadenitis is pivotal in the differential diagnosis of systemic lymphadenopathy in ATL.
URL :https://doi.org/10.2169/internalmedicine.54.4324
Type Local :雑誌掲載論文
ISSN :1349-7235
Publisher :The Japanese Society of Internal Medicine
URI :http://hdl.handle.net/20.500.12000/47235
Citation :Internal Medicine Vol.54 no.22 p.2919 -2922
Appears in Collections:Peer-reviewed Journal Articles (Faculty of Medicine)

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