Neutropaenic typhlitis

Case contributed by Dr Kirsten Kind

Presentation

51 year old male presented with neutropoenic 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 localising symptoms so was scanned as a pyrexia of unknown origin.

Patient Data

Age: 51
Gender: Male
CT

Thickened descending colon and cecum with minor fat stranding. 

Case Discussion

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

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Case information

rID: 40025
Published: 3rd Oct 2015
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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