Recurrent Diverticulitis in a Neutropenic Patient: A Case Report

Authors

  • Mahmoud El Hussein, MD Department of Emergency Medicine, Lebanese American University Medical Center, Beirut, Lebanon
  • Cima Hamieh, MD Department of Family Medicine, Lebanese American University Medical Center, Beirut, Lebanon
  • Elie Zaghrini, MD Department of Emergency Medicine, Lebanese American University Medical Center, Beirut, Lebanon

DOI:

https://doi.org/10.38179/ijcr.v2i1.29

Keywords:

Acute Myeloid Leukemia, diverticulitis, neutropenic fever, abdominal pain, sepsis

Abstract

Background: Neutropenic patients are at an increased risk of infections. These infections can originate from several sites including the respiratory, urinary or gastrointestinal systems. Diverticulitis is one such infection, that carries a high morbidity and mortality risk in such patients. The management remains controversial and involves deciding between a conservative medical approach and surgical intervention. Regardless, these patients should be closely monitored due to a high risk of developing complications including septic shock.

Case Report: In this article, we discuss the case of a patient with acute myeloid leukemia (AML) presenting with neutropenic fever and found to have a recurrent episode of diverticulitis. The patient was quickly managed with medical therapy, and surgery was therefore deferred.

Conclusion: In conclusion, physicians should always maintain diverticulitis as a differential diagnosis in neutropenic patients who present with abdominal pain, especially in those who have had a previous episode. This allows for rapid and more efficient management.

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Computed Tomography Scan of the abdomen showing a circumferential short segment wall thickening of the sigmoid colon with multiple diverticular pouches and significant surrounding fat stranding

Published

2021-04-27

How to Cite

El Hussein, M., Hamieh, C., & Zaghrini, E. . (2021). Recurrent Diverticulitis in a Neutropenic Patient: A Case Report. International Journal of Clinical Research, 2(1), 7-10. https://doi.org/10.38179/ijcr.v2i1.29