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Neutropenic enterocolitis (typhlitis) in a pediatric renal transplant patient. A case report and review of the literature
Author(s) -
Pelletier Jonathan H.,
Nagaraj Shashi,
Gbadegesin Rasheed,
Wigfall Delbert,
McGann Kathleen A.,
Foreman John
Publication year - 2017
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/petr.13022
Subject(s) - medicine , renal transplant , enterocolitis , intensive care medicine , necrotizing enterocolitis , pediatrics , transplantation
NE (typhlitis) is a potentially life‐threatening disease process characterized by bowel wall edema, ulceration, and hemorrhage in an immunosuppressed patient. We report a 15‐year‐old boy status post deceased donor renal transplantation who presented with fever, abdominal pain, and diarrhea. Laboratory studies revealed neutropenia 5 days prior to admission, and abdominal computed tomography revealed bowel wall thickening in the cecum consistent with NE. He was treated with piperacillin‐tazobactam and gentamicin and recovered. To our knowledge, this is the first report of a case of NE in a pediatric kidney transplant recipient.