論文

査読有り
2020年

[Persistent malnutrition caused by Nihonkaiense diphyllobothriasis diagnosed during treatment of malignant lymphoma].

[Rinsho ketsueki] The Japanese journal of clinical hematology
  • Mitsuru Moriyama
  • ,
  • Seiichiro Yoshizawa
  • ,
  • Hiroaki Fujimoto
  • ,
  • Daigo Akahane
  • ,
  • Tamiko Suguro
  • ,
  • Akiko Yamada
  • ,
  • Masaki Machida
  • ,
  • Rie Inoue
  • ,
  • Yasuyuki Morishima
  • ,
  • Akihiko Gotoh

61
7
開始ページ
750
終了ページ
752
記述言語
日本語
掲載種別
研究論文(学術雑誌)
DOI
10.11406/rinketsu.61.750

A 72-year-old man with ileocecal lymphadenopathy was found to have Epstein-Barr virus-positive diffuse large B-cell lymphoma using open biopsy, and an ileostoma was created. R-CHOP-like chemotherapy was initiated, but his malnutrition did not improve. After 3 cycles of chemotherapy, a 2-m-long Cestoda was removed from the stoma and was identified as Diphyllobothrium nihonkaiense using mitochondria cytochrome c oxidase subunit 1 targeted polymerase chain reaction analysis. Although D. nihonkaiense infections are asymptomatic, the ileostomy was thought to have exacerbated the malabsorption in this patient. Parasitic infections are rare; however, they should be added to the differential diagnosis of malnutrition of unknown cause during chemotherapy for hematological malignancies.

リンク情報
DOI
https://doi.org/10.11406/rinketsu.61.750
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32759561

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