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Non-Neutropenic Sepsis in Cancer Patients: The Luminal Obstruction Syndrome

Non-Neutropenic Sepsis in Cancer Patients: The Luminal Obstruction Syndrome

作     者:Tamás Kullmann Dóra Füzi Tamás Pintér 

作者机构:Department of Oncoradiology Petz Aladár Hospital Gyor Hungary 

出 版 物:《Journal of Cancer Therapy》 (癌症治疗(英文))

年 卷 期:2019年第10卷第10期

页      面:789-795页

学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主  题:Sepsis Biliary Sepsis Urosepsis Bronchogenic Sepsis Solid Cancer 

摘      要:Background: Neutropenic sepsis is a frequent complication of cytotoxic chemotherapy delivered for cancer patients. Its management is well determined by clinical guidelines. Non-neutropenic sepsis is another potential complication in cancer patients. Its management is less established in the medical literature. Materials and Methods: Three cases are presented to illustrate favourable evolution of non-neutropenic biliary-, uro- and bronchogenic-sepsis in cancer patients with poor prognosis. Results: All three patients had a survival over six months after the management of the septic complication. Two of them received subsequent systemic anticancer treatment. Conclusions: Survival benefit offered by the management of cancer-related non-neutropenic sepsis may be comparable to the benefit obtained by systemic anticancer treatments. Cost-effectiveness of sepsis management may be better than that of anticancer treatments.

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