Giant Septic Lymphadenitis with Marked Gas Formation Caused by <i>Bacteroides fragilis</i> in a Patient with Adult T-cell Leukemia/lymphoma

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  • Tomoyose Takeaki
    Division of Endocrinology, Diabetes and Metabolism, Hematology and Rheumatology, Second Department of Internal Medicine, Graduate School of Medicine, University of the Ryukyus, Japan
  • Nakachi Sawako
    Division of Endocrinology, Diabetes and Metabolism, Hematology and Rheumatology, Second Department of Internal Medicine, Graduate School of Medicine, University of the Ryukyus, Japan Center of Bone Marrow Transplantation, Ryukyu University, Japan
  • Nishi Yukiko
    Division of Endocrinology, Diabetes and Metabolism, Hematology and Rheumatology, Second Department of Internal Medicine, Graduate School of Medicine, University of the Ryukyus, Japan
  • Morichika Kazuho
    Division of Endocrinology, Diabetes and Metabolism, Hematology and Rheumatology, Second Department of Internal Medicine, Graduate School of Medicine, University of the Ryukyus, Japan
  • Tedokon Iori
    Division of Endocrinology, Diabetes and Metabolism, Hematology and Rheumatology, Second Department of Internal Medicine, Graduate School of Medicine, University of the Ryukyus, Japan
  • Tamaki Keita
    Division of Endocrinology, Diabetes and Metabolism, Hematology and Rheumatology, Second Department of Internal Medicine, Graduate School of Medicine, University of the Ryukyus, Japan
  • Shimabukuro Natsuki
    Division of Endocrinology, Diabetes and Metabolism, Hematology and Rheumatology, Second Department of Internal Medicine, Graduate School of Medicine, University of the Ryukyus, Japan Center of Bone Marrow Transplantation, Ryukyu University, Japan
  • Hanashiro Taeko
    Division of Endocrinology, Diabetes and Metabolism, Hematology and Rheumatology, Second Department of Internal Medicine, Graduate School of Medicine, University of the Ryukyus, Japan
  • Samura Hironori
    Unit of Organ Oriented Medicine, Division of Digestive and General Surgery, First Department of Surgery, Graduate School of Medicine, University of the Ryukyus, Japan
  • Fukushima Takuya
    Laboratory of Immunohematology, School of Health Sciences, Faculty of Medicine, University of the Ryukyus, Japan
  • Masuzaki Hiroaki
    Division of Endocrinology, Diabetes and Metabolism, Hematology and Rheumatology, Second Department of Internal Medicine, Graduate School of Medicine, University of the Ryukyus, Japan

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Abstract

Adult T-cell leukemia/lymphoma (ATL) sometimes causes opportunistic infections. A 53-year-old woman with systemic lymphadenopathies was diagnosed with ATL by inguinal lymph node biopsies and underwent oral chemotherapy. Two months later, high grade fever, lower abdominal pain and lymphadenopathy recurred. Computed tomography revealed the presence of lymphadenopathy with marked gas formation in the pelvic lesion. Blood cultures were suggestive of septic lymphadenitis by Bacteroides fragilis (BF). This represents the first demonstration of giant lymphadenitis with gas formation caused by BF in a patient with ATL. Notably, septic lymphadenitis is pivotal in the differential diagnosis of systemic lymphadenopathy in ATL.<br>

Journal

  • Internal Medicine

    Internal Medicine 54 (22), 2919-2922, 2015

    The Japanese Society of Internal Medicine

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