Management of acute colorectal diseases in febrile neutropenic patients

• Autor(a) principal: Perazzoli,Camila
• Data de Publicação: 2014
• Outros Autores: Feitosa,Marley Ribeiro, Figueiredo-Pontes,Lorena Lobo de, Rocha,José Joaquim Ribeiro da, Simões,Belinda Pinto, Féres,Omar
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Journal of Coloproctology (Rio de Janeiro. Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632014000300189
• topic: Febrile neutropenia; Typhlitis; Anal canal

Patients with hematologic malignancies are susceptible to serious complications due to immunosuppression. Neutropenic-related infection is one of the major causes of morbidity and mortality in this group of diseases. Febrile neutropenia is a common complication of the hematologic neoplasm itself or chemotherapy, and has worse prognosis if prolonged (lasting more than 7 days) or severe (neutrophil count below 500 cells per μL). Among the usual sites of infection, we highlight the neutropenic enterocolitis and perianal infection as gastrointestinal complications of greater interest to the colorectal surgeon. Although most cases respond to conservative treatment, a portion of patients will need surgery for complete recovery.