Foreman, "Neutropenic enterocolitis (typhlitis
) in a pediatric renal transplant patient.
, an uncommon finding with ALA, was present in only 6% patients.
during second-line chemotherapy with pemetrexed in non-small cell lung cancer (NSCLC): A case report.
CT scan of the abdomen and pelvis revealed cecal wall thickening associated with fat stranding and right paracolic gutter fluid collection--findings consistent with typhlitis
. Labs revealed an ANC of less than 500 cells/[micro]L.
Right lower abdominal pain due to involvement of other viscera like urinary tract infection, ureteric stone, acute gastroenteritis, Meckel's diverticulitis, disease of the urogenital systems, intussusception, Crohn's enteritis, caecal typhlitis
, gynaecological disorders--pelvic inflammatory disease, ruptured ectopic, torsion of ovarian cysts.
Necropsy examination revealed congested liver, hypertrophied kidneys, peritonitis, severe typhlitis
suggestive of coligranuloma, pneumonia, and airsacculitis, which are typical signs of colisepticemia.
The gastrointestinal system must also be carefully examined as typhlitis
or neutropenic enterocolitis is a common cause of severe infection.
Histopathologic examination showed severe, diffuse, necrotizing typhlitis
; mild to moderate enterocolitis; and septicemia.
A diagnosis of neutropenic enterocolitis (typhlitis
) was made.
These opportunistic pathogens include mycobacteria (tuberculosis and Mycobacterium avium intracellulare), viruses (CMV), parasites (Cryptosporidium) and, in the setting of neutropenia, typhlitis
(neutropenic colitis, Figure 19).
Appendicular abscess or mass, ileocaecal tuberculosis, carcinoma caecum, mesenteric adenitis, iliac nodes, typhlitis
, Crohn's disease, actinomycosis, distended gallblader, ovarian cysts, fibroid uterus, tubo-ovarian mass, occasionally intussusception, amoeboma, diverticular disease.
On gross pathologic examination, the geese were found to have hemorrhagic-to-necrotic inflammation of the large intestine (colon and rectum) and fibrinonecrotic typhlitis
accompanied by severe degeneration.