Successful medical management of neutropenic enterocolitis in adults with acute leukemia
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S O'Brien1, H M Kantarjian, E Anaissie
1Department of Internal Medicine, University of Texas M.D. Anderson Hospital and Tumor Institute, Houston 77030.
Southern Medical Journal
|October 1, 1987
Abstract:
Seven adults with acute leukemia had a clinical and radiologic diagnosis of neutropenic enterocolitis. Six of the seven patients had granulocyte counts less than 500/microliter. All seven patients responded to intensive medical therapy, including bowel rest, broad spectrum antibiotics, and white blood cell transfusions, and recovered from the neutropenic enterocolitis without surgical intervention. We discuss the clinical spectrum of neutropenic enterocolitis and the favorable results of medical therapy.