Neutropaenic typhlitis

Case contributed by Dr Kirsten Kind


50 year old male presented with neutropenic sepsis after several months therapy with sulfasalazine for rheumatoid arthritis. He responded well to gentamicin and Tazocin but became tachycardic and pyrexial again when these were stopped after 5 days. He had no positive cultures and no localizing symptoms so was scanned as a pyrexia of unknown origin.

Patient Data

Age: 50 years
Gender: Male

Thickened descending colon and cecum with minor fat stranding. 

Case Discussion

These findings in a neutropaenic patient are in keeping with neutropaenic typhlitis.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.