CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2009; 30(04): 147-148
DOI: 10.4103/0971-5851.65341
CASE REPORT

Pseudomonasdiarrhea in a child suffering from acute lymphatic leukemia

A De
Department of Microbiology, L.T.M. Medical College, Sion, Mumbai - 400 022, India
,
H Mathurkar
Department of Microbiology, L.T.M. Medical College, Sion, Mumbai - 400 022, India
,
S Baveja
Department of Microbiology, L.T.M. Medical College, Sion, Mumbai - 400 022, India
,
M V Manglani
Department of Pediatrics, L.T.M. Medical College, Sion, Mumbai - 400 022, India
› Author Affiliations

Abstract

A female child admitted to hospital, diagnosed with acute lymphatic leukemia - CALLA positive, developed loose motions. Her stool culture and blood culture grew Pseudomonas aeruginosa. Although the diarrhea subsided after five days, the stool culture repeatedly grew P. aeruginosa for more than one month, in spite of treatment. Even though diarrhea due to Pseudomonas is rare, it can yet be seen in immunocompromised patients and is also associated with neutropenic enterocolitis. Stool specimens of all leukemia patients on chemotherapy and suffering from diarrhea, should be sent routinely for culture, so as to find out the exact cause of the diarrhea. Proper reporting will enable the clinicians to start appropriate antibiotics, thereby, reducing the morbidity and mortality of the leukemia patients.



Publication History

Article published online:
19 November 2021

© 2009. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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  • References

  • 1 Chakraborty P. Pseudomonads and non-fermenters. 2 nd ed. A Textbook of Microbiology. Kolkata: New Central Book Agency (P) Ltd.; 2003. p. 343-51.
  • 2 Kim SW, Peck KR, Jung SI, Kim YS, Kim S, Lee NY, Song JH. Pseudomonas aeruginosa as a potential cause of antibiotic-associated diarrhea. J Korean Med Sci 2001;16:742-4.
  • 3 Porco FV, Visconte EB. Pseudomonas aeruginosa as a cause of infectious diarrhea successfully treated with oral ciprofloxacin. Annals Pharmacother 1995;29:1122-3.
  • 4 Agarwal BR, Sathe AS, Currimbhoy Z. Neutropenic enterocolitis with acute leukemia. Indian Pediatrics 1994;31:57-60.
  • 5 Koneman EW, Allen SD, Janda WM, Schreckenberger PC, Winn WC Jr. The nonfermentative gram-negative bacilli. 5 th ed. Color Atlas and Textbook of Diagnostic Microbiology. Philadelphia: Lippincott; 1997. p. 253-72, 287-93, 299-304.
  • 6 Performance standards for antimicrobial susceptibility testing. Seventeenth informational supplement. M100 - S17. Clinical Laboratory Standards Institute. 2007;27(1):p. 38-9.
  • 7 Ullery BW, Pieracci FM, Rodney JR, Barie PS. Neutropic enterocolitis. Surg Infect (Larchmt) 2009;10:307-14.
  • 8 Stringer A, Gibson R, Logan R, Bowen J, Yeoh A, Keefe D. Chemotherapy-induced diarrhea and changes in the fecal flora of cancer patients. Available from: http://www.mascc.org/media/20th_symposium_proceeding/poster/2007Human2.Pdf . [cited in 2009].
  • 9 Adlard PA, Kirov SM, Sanderson K, Cox GE. Pseudomonas aeruginosa as a cause of infectious diarrhea. Epidemiol Infect 1998;121:237-41.
  • 10 Givler RL. Necrotizing anorectal lesions associated with Pseudomonas infection in leukemia. Dis Colon Rectum 2007;12:438- 40.