Abstract
Although it has been well known that salmonella infections are relatively common in patients with immunologic disorders, they are very rare in children with acute leukemia. In this report, a child with acute lymhoblastic leukemia and pleural empyema was presented. A 12-year-old boy was admitted to the hospital with the complaints of fever and arthralgia. The diagnosis of acute lymphoblastic leukemia was established and high risk BFM 90 protocol was initiated. During this chemotherapy protocol, pleural empyema developed and Salmonella typhimurium was isolated from pleural fluid. The patient was successfully treated with closed tube drainage and ceftriaxone.
İmmünolojik hastalıklarda salmonella enfeksiyonu sık görülmesine rağmen, akut lösemili çocuklarda çok nadir görüldüğü bilinmektedir. Bu makalede akut lenfoblastik lösemi ve plevral ampiyem vakası sunulmuştur. On iki yaşında erkek hasta ateş ve eklem ağrısı şikayetleriyle hastaneye başvurdu. Akut lenfoblastik lösemi tanısı alan hastaya yüksek risk BFM 90 protokolü başlandı. Kemoterapi tedavisi sırasında plevral ampiyem gelişen hastanın plevral mayisinden Salmonella typhimurium izole edildi. Hasta açık göğüs tüpü drenajı ve seftriakson ile başarıyla tedavi edildi.