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Nutrition Support for a Stem Cell Transplant Patient: A Complicated Teaching Case
Author(s) -
Dickson Tara Coghlin
Publication year - 1999
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/088453369901400103
Subject(s) - medicine , pancytopenia , parenteral nutrition , stem cell , intensive care medicine , failure to thrive , transplantation , disease , psychological intervention , surgery , pediatrics , nursing , bone marrow , biology , genetics
A 36‐year‐old woman received an autologous peripheral blood stem cell transplant for recurrent Hodgkin's disease. Failure to thrive, pancytopenia, and multiple infections complicated her first year after autologous transplant. She required blood products and growth factors on a chronic basis, and nutrition support was begun 8 months after transplant. After other nutrition interventions failed, enteral feeding was initiated, which eventually brought her to her pretransplant weight. Although transplant patients are monitored closely with regard to nutrition, such a difficult course and the need for an extended period of nutrition support are unusual for an autologous transplant patient.