Disseminated tuberculosis following second unrelated cord blood transplantation for acute myelogenous leukemia

T. Shima, G. Yoshimoto, T. Miyamoto, S. Yoshida, K. Kamezaki, K. Takenaka, H. Iwasaki, N. Harada, K. Nagafuji, T. Teshima, N. Shimono, K. Akashi

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract

Here we report the case of a 43-year-old Japanese woman with acute myelogenous leukemia who underwent 2 unrelated cord blood transplantations (UCBT), terminating in fatal disseminated tuberculosis (TB). The patient did not achieve remission despite intensive chemotherapy, and subsequently underwent UCBT with a standard conditioning regimen. However, engraftment was not achieved. Fifty days after the first UCBT, the patient underwent a second UCBT with a reduced-intensity conditioning regimen. She developed a pre-engraftment immune reaction, which responded well to prednisolone, and engraftment was documented. However, 50 days after the second UCBT, the patient presented with high fever and developed pneumonia despite antibiotic and antifungal treatments. Thereafter, Mycobacterium tuberculosis was detected in blood cultures and specimens of bronchoalveolar lavage, thus indicating disseminated TB. Despite anti-tuberculous treatment, she died on day 85. TB should always be considered as a possible diagnosis when treating febrile immunocompromised patients.

Original languageEnglish
Pages (from-to)75-77
Number of pages3
JournalTransplant Infectious Disease
Volume11
Issue number1
DOIs
Publication statusPublished - Feb 1 2009

All Science Journal Classification (ASJC) codes

  • Infectious Diseases
  • Transplantation

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