Authors: C Harter G Egerer
Publish Date: 2004/04/27
Volume: 12, Issue: 11, Pages: 815-816
Abstract
Recently Cesaro et al reported on 118 pediatric patients median age 55 years range 01–173 years with a central venous catheter CVC inserted for acute lymphoblastic leukemia 76 patients 644 acute myeloid leukemia 14 patients 119 nonHodgkin’s lymphoma 23 patients 195 and Hodgkin’s lymphoma 5 patients 425 1 In two patients for whom CVC placement was contraindicated because of a high anesthetic risk due to their severe clinical condition a peripherally inserted central venous catheter PICC was used instead of a CVC A 15year old male with acute myeloid leukemia developed a sepsis from Acinetobacter baumannii and Candida parapsilosis The scenario was additionally complicated by disseminated intravascular coagulation and left laterocervical and facial abscess 2 days after the start of chemotherapy The progressive worsening of this infection with subsequent neutrocytopenia and severe mucositis required a safe central venous access A PICC
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