Critical Illness Polyneuropathy after Bacillus cereus Sepsis in Acute Lymphoblastic Leukemia
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概要
- 論文の詳細を見る
We report a 16-year-old woman patient with acute lymphoblastic leukemia (ALL) who developed severe critical illness polyneuropathy (CIP). She developed Bacillus cereus sepsis with multiple brain abscesses after chemotherapy. Although she was successfully treated and her general condition recovered, she could not stand. CIP was diagnosed based on the clinical course and electrophysiological studies. Since vincristine (VCR) was thought to have aggravated neurological symptoms, ALL treatment was continued without VCR. Five months from the onset of CIP, she could walk again with steppage gait. This case suggests that CIP can recover even while continuing ALL treatment, but omitting VCR.
著者
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Okamoto Yasuhiro
Department of Internal Medicine, Japan Self Defense Force Central Hospital
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Kodama Yuichi
Department Of Pediatrics Kagoshima University Graduate School Of Medical And Dental Sciences
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Shinkoda Yuichi
Department Of Pediatrics Kagoshima University Graduate School Of Medical And Dental Sciences
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Nishikawa Takuro
Department Of Environmental Medicine Graudate School Of Medical And Dental Sciences Kagoshima Univer
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Tanabe Takayuki
Department Of Pediatrics Kagoshima University Graduate School Of Medical And Dental Sciences
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Kawano Yoshifumi
Department of Child Health, Graduate School of Comprehensive Human Sciences, University of Tsukuba
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