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- Komeno Yukiko
- Department of Hematology, Japan Community Healthcare Organization (JCHO) Tokyo Yamate Medical Center, Japan
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- Uryu Hideki
- Department of Hematology, Japan Community Healthcare Organization (JCHO) Tokyo Yamate Medical Center, Japan
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- Iwata Yuko
- Department of Hematology, Japan Community Healthcare Organization (JCHO) Tokyo Yamate Medical Center, Japan
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- Hatada Yasumasa
- Department of Gastroenterology, Japan Community Healthcare Organization (JCHO) Tokyo Yamate Medical Center, Japan
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- Sakamoto Jumpei
- Department of Ophthalmology, Japan Community Healthcare Organization (JCHO) Tokyo Yamate Medical Center, Japan
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- Iihara Kuniko
- Department of Pathology, Japan Community Healthcare Organization (JCHO) Tokyo Yamate Medical Center, Japan
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- Ryu Tomiko
- Department of Hematology, Japan Community Healthcare Organization (JCHO) Tokyo Yamate Medical Center, Japan
この論文をさがす
抄録
A 47-year-old woman presented with persistent dysphagia. A gastroendoscopy revealed massive esophageal candidiasis, and oral miconazole was prescribed. Three weeks later, she returned to our hospital without symptomatic improvement. She was febrile, and blood tests showed leukocytosis (137,150 /μL, blast 85%), anemia and thrombocytopenia. She was diagnosed with acute myeloid leukemia (AML). She received chemotherapy and antimicrobial agents. During the recovery from the nadir, bilateral ocular candidiasis was detected, suggesting the presence of preceding candidemia. Thus, esophageal candidiasis can be an initial manifestation of AML. Thorough examination to detect systemic candidiasis is strongly recommended when neutropenic patients exhibit local candidiasis prior to chemotherapy.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 54 (23), 3087-3092, 2015
一般社団法人 日本内科学会