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Multiple Punctate Intracerebral Hemorrhages in Acute Leukemia With Escherichia coli Sepsis
Sang-Bae Ko, MD;
Hee-Joon Bae, MD, PhD;
Seong-Ho Park, MD, PhD
Arch Neurol. 2008;65(8):1128-1129.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 56-year-old man was admitted to the hospital with a 2-week history of general myalgia, fever, and cough. A complete blood cell count on admission showed the following: white blood cell count, 1720/µL (to convert to value x 109/L, multiply by 106); hemoglobin level, 6.7 g/dL (to convert to grams per liter, multiply by 10.0); and platelet count, 24 x 103/µL (to convert to value x 109/L, multiply by .001). Acute leukemia was suspected, and a bone marrow examination revealed acute erythroid leukemia (acute myeloid leukemia M6 subtype). Ten days after initiating treatment with cytarabine hydrochloride and idarubicin hydrochloride, he developed a fever (temperature, 39.3°C). Blood smear results showed gram-negative rods, and Fournier gangrene was identified as a septic focus. Vancomycin, meropenem, and metronidazole treatment was initiated, and this treatment was changed to cefepime and . . . [Full Text of this Article]COMMENT
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