Abstract
Background: Neutropenic patients are at an increased risk of infections. These infections can originate from several sites including the respiratory, urinary or gastrointestinal systems. Diverticulitis is one such infection, that carries a high morbidity and mortality risk in such patients. The management remains controversial and involves deciding between a conservative medical approach and surgical intervention. Regardless, these patients should be closely monitored due to a high risk of developing complications including septic shock. Case Report: In this article, we discuss the case of a patient with acute myeloid leukemia (AML) presenting with neutropenic fever and found to have a recurrent episode of diverticulitis. The patient was quickly managed with medical therapy, and surgery was therefore deferred. Conclusion: In conclusion, physicians should always maintain diverticulitis as a differential diagnosis in neutropenic patients who present with abdominal pain, especially in those who have had a previous episode. This allows for rapid and more efficient management.
Highlights
ConclusionPhysicians should always maintain diverticulitis as a differential diagnosis in neutropenic patients who present with abdominal pain, especially in those who have had a previous episode
Diverticular disease affects around 25% of the general population, with an increased prevalence in the industrialized countries [1]
In conclusion, physicians should always maintain diverticulitis as a differential diagnosis in neutropenic patients who present with abdominal pain, especially in those who have had a previous episode
Summary
Physicians should always maintain diverticulitis in their differential diagnosis in neutropenic patients presenting with abdominal pain, especially for those who had a previous diverticulitis episode. Broad-spectrum antibiotics should be started as soon as possible to avoid the possibility of septic shock. Conservative medical therapy appears to be superior to surgical treatment in early cases as surgeries might increase morbidity and mortality. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ or send a letter to Creative Commons, PO. Box 1866, Mountain View, CA 94042, USA. This manuscript emphasizes the importance of maintaining diverticulitis on top of the differential diagnosis in neutropenic patients presenting with abdominal pain
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