Abstract An 18-year-old male was admitted for his second induction chemotherapy treatment for an acute lymphoblastic leukemia with cyclophosphamide, cytarabine, and mercaptopurine. Later, he presented with high fever, abdominal pain, non-bloody diarrhea, portal hypertension and leukopenia. Stool sample analysis, blood cultures and extensive work-up were negative. The only microbiologic evidence was the presence of cytomegalovirus DNA detected by PCR. A profound hypogammaglobulinemia was documented. Pathology material reported non-caseating granulomas in liver, bone marrow, duodenum and colon with negative cytomegalovirus immunostaining. What is your diagnosis?
All Keywords
【저자키워드】 neutropenia, granuloma, Fever of Unknown Origin, febre de causa desconhecida, fiebre de origen desconocido,
【저자키워드】 neutropenia, granuloma, Fever of Unknown Origin, febre de causa desconhecida, fiebre de origen desconocido,