Haematological emergencies

This chapter discusses haematological emergencies, including blood transfusion reactions, sickle-cell crisis, bleeding disorders, abnormal coagulation, circulating inhibitors of coagulation, abnormal platelets, anticoagulant therapy, bleeding with fibrinolytic therapy, bleeding in liver disease, bleeding in uraemia, massive transfusion/cardiopulmonary bypass, haemophilia and related disorders, combined thrombotic and haemorrhagic disorders, disseminated intravascular coagulation (DIC), thrombotic thrombocytopenic purpura (TTP) and haemolytic uraemic syndrome (HUS), microangiopathic haemolytic anaemia, heparin-associated thrombocytopenia, acute leukaemias, early complications of bone marrow transplantation (BMT), the febrile neutropenic patient, infections in the transplant patient, cytomegalovirus (CMV) infections in transplant patients, hyperviscosity syndrome, tumour lysis syndrome, hypercalcaemia of malignancy, superior vena cava obstruction, and massive mediastinal mass.

Lung abcess in a child with acute lymphoblastic leukemia undistinguishable from fungal infection: Case report

Many opportunistic infections occur in febrile neutropenic patients after chemotherapy. When lung masses are found in febrile neutropenic patients the first things that come to mind are tumor metastasis and yeast infections. Lung abscess that presents with the appearance of a mass is a very rare situation. This paper presents a febrile neutropenic patient with an abscess caused by ESBL (-) E.coli with mass appearance similar to fungal ball and tumor metastasis. After antimicrobial treatment and 52 days after surgical intervention the patient was discharged. We wish to draw attention to the fact that in patients with lung mass lesions and febrile neutropenia, fungal balls, tumor metastasis and abscesses have a similar appearance in the early period.