Infectious diarrhea in autologous stem cell transplantation: high prevalence of coccidia in a South American center

Detalhes bibliográficos
Autor(a) principal: Castro, Marcelo Dias de
Data de Publicação: 2018
Outros Autores: Chebli, Julio Maria, Costa, Luciano José, Alves, Katia Regina Lopes, Atalla, Angelo, Hallack Neto, Abrahao E.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFJF
Texto Completo: http://dx.doi.org/10.1016/j.htct.2017.10.002
https://repositorio.ufjf.br/jspui/handle/ufjf/7459
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spelling 2018-09-13T14:42:53Z2018-09-132018-09-13T14:42:53Z2018-04402132135http://dx.doi.org/10.1016/j.htct.2017.10.002https://repositorio.ufjf.br/jspui/handle/ufjf/7459-Background: Diarrhea is frequently seen in autologous stem cell transplantation. Although toxicity related to conditioning is the most common cause, infectious pathogens can play a distinctive role particularly in certain regions and environments. Methods: The role of enteropathogens was investigated in 47 patients submitted to autologous stem cell transplantation at a Brazilian center between May 2011 and May 2013. All patients who presented with diarrhea consented to stool sample analysis to identify the etiological agents including coccidia, Strongyloides sp., Clostridium difficile and other pathogenic bacteria. Results: Thirty-nine patients (83%) had diarrhea, among whom seven (17.5%) presented with coccidia, three (7.5%) with Candida sp., one (2.5%) with C. difficile, and one (2.5%) with Giardia lamblia. There was a tendency toward a higher incidence of diarrhea in older patients (p-value = 0.09) and those who received conditioning with lomustine, etoposide, cytarabine, and melphalan (p-value = 0.083). Furthermore, the number of days of neutropenia was higher in patients with diarrhea (p-value = 0.06). Conclusions: The high frequency of diarrhea caused by coccidia shows the importance of investigating and correctly identifying etiological agents and highlights the possible varieties of intestinal infections in patients who undergo autologous stem cell transplantation.eng--BrasilHematology, Transfusion and Cell Therapy-Stem cell transplantDiarrheaEtiological agentCoccidiaInfectious diarrhea in autologous stem cell transplantation: high prevalence of coccidia in a South American centerinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleCastro, Marcelo Dias deChebli, Julio MariaCosta, Luciano JoséAlves, Katia Regina LopesAtalla, AngeloHallack Neto, Abrahao E.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFJFinstname:Universidade Federal de Juiz de Fora (UFJF)instacron:UFJFTHUMBNAILInfectious diarrhea in autologous stem cell transplantation.pdf.jpgInfectious diarrhea in autologous stem cell transplantation.pdf.jpgGenerated Thumbnailimage/jpeg1744https://repositorio.ufjf.br/jspui/bitstream/ufjf/7459/4/Infectious%20diarrhea%20in%20autologous%20stem%20cell%20transplantation.pdf.jpgba0bb7bec6fb777601101458cc76f604MD54ORIGINALInfectious diarrhea in autologous stem cell transplantation.pdfInfectious diarrhea in autologous stem cell transplantation.pdfapplication/pdf191948https://repositorio.ufjf.br/jspui/bitstream/ufjf/7459/1/Infectious%20diarrhea%20in%20autologous%20stem%20cell%20transplantation.pdf1ed0017af2b08d3ebe0d823241889f60MD51LICENSElicense.txtlicense.txttext/plain; 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dc.title.pt_BR.fl_str_mv Infectious diarrhea in autologous stem cell transplantation: high prevalence of coccidia in a South American center
title Infectious diarrhea in autologous stem cell transplantation: high prevalence of coccidia in a South American center
spellingShingle Infectious diarrhea in autologous stem cell transplantation: high prevalence of coccidia in a South American center
Castro, Marcelo Dias de
-
Stem cell transplant
Diarrhea
Etiological agent
Coccidia
title_short Infectious diarrhea in autologous stem cell transplantation: high prevalence of coccidia in a South American center
title_full Infectious diarrhea in autologous stem cell transplantation: high prevalence of coccidia in a South American center
title_fullStr Infectious diarrhea in autologous stem cell transplantation: high prevalence of coccidia in a South American center
title_full_unstemmed Infectious diarrhea in autologous stem cell transplantation: high prevalence of coccidia in a South American center
title_sort Infectious diarrhea in autologous stem cell transplantation: high prevalence of coccidia in a South American center
author Castro, Marcelo Dias de
author_facet Castro, Marcelo Dias de
Chebli, Julio Maria
Costa, Luciano José
Alves, Katia Regina Lopes
Atalla, Angelo
Hallack Neto, Abrahao E.
author_role author
author2 Chebli, Julio Maria
Costa, Luciano José
Alves, Katia Regina Lopes
Atalla, Angelo
Hallack Neto, Abrahao E.
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Castro, Marcelo Dias de
Chebli, Julio Maria
Costa, Luciano José
Alves, Katia Regina Lopes
Atalla, Angelo
Hallack Neto, Abrahao E.
dc.subject.cnpq.fl_str_mv -
topic -
Stem cell transplant
Diarrhea
Etiological agent
Coccidia
dc.subject.por.fl_str_mv Stem cell transplant
Diarrhea
Etiological agent
Coccidia
description -
publishDate 2018
dc.date.accessioned.fl_str_mv 2018-09-13T14:42:53Z
dc.date.available.fl_str_mv 2018-09-13
2018-09-13T14:42:53Z
dc.date.issued.fl_str_mv 2018-04
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://repositorio.ufjf.br/jspui/handle/ufjf/7459
dc.identifier.doi.pt_BR.fl_str_mv http://dx.doi.org/10.1016/j.htct.2017.10.002
url http://dx.doi.org/10.1016/j.htct.2017.10.002
https://repositorio.ufjf.br/jspui/handle/ufjf/7459
dc.language.iso.fl_str_mv eng
language eng
dc.relation.ispartof.pt_BR.fl_str_mv Hematology, Transfusion and Cell Therapy
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv -
dc.publisher.initials.fl_str_mv -
dc.publisher.country.fl_str_mv Brasil
publisher.none.fl_str_mv -
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFJF
instname:Universidade Federal de Juiz de Fora (UFJF)
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instacron_str UFJF
institution UFJF
reponame_str Repositório Institucional da UFJF
collection Repositório Institucional da UFJF
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