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Infectious diarrhea in autologous stem cell transplantation: high prevalence of coccidia in a South American center

Overview of attention for article published in Hematology Transfusion and Cell Therapy, February 2018
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Title
Infectious diarrhea in autologous stem cell transplantation: high prevalence of coccidia in a South American center
Published in
Hematology Transfusion and Cell Therapy, February 2018
DOI 10.1016/j.htct.2017.10.002
Pubmed ID
Authors

Marcelo Dias de Castro, Julio Maria Chebli, Luciano José Costa, Katia Regina Lopes Alves, Angelo Atalla, Abrahao E. Hallack Neto

Abstract

Diarrhea is frequently seen in autologous stem cell transplantation. Although toxicity related to conditioning is the most common cause, infectious pathogens can play a distinctive role particularly in certain regions and environments. The role of enteropathogens was investigated in 47 patients submitted to autologous stem cell transplantation at a Brazilian center between May 2011 and May 2013. All patients who presented with diarrhea consented to stool sample analysis to identify the etiological agents including coccidia, Strongyloides sp., Clostridium difficile and other pathogenic bacteria. Thirty-nine patients (83%) had diarrhea, among whom seven (17.5%) presented with coccidia, three (7.5%) with Candida sp., one (2.5%) with C. difficile, and one (2.5%) with Giardia lamblia. There was a tendency toward a higher incidence of diarrhea in older patients (p-value = 0.09) and those who received conditioning with lomustine, etoposide, cytarabine, and melphalan (p-value = 0.083). Furthermore, the number of days of neutropenia was higher in patients with diarrhea (p-value = 0.06). The high frequency of diarrhea caused by coccidia shows the importance of investigating and correctly identifying etiological agents and highlights the possible varieties of intestinal infections in patients who undergo autologous stem cell transplantation.

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The data shown below were compiled from readership statistics for 26 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 26 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 3 12%
Researcher 3 12%
Other 2 8%
Professor > Associate Professor 2 8%
Student > Master 2 8%
Other 2 8%
Unknown 12 46%
Readers by discipline Count As %
Medicine and Dentistry 3 12%
Immunology and Microbiology 2 8%
Pharmacology, Toxicology and Pharmaceutical Science 1 4%
Biochemistry, Genetics and Molecular Biology 1 4%
Veterinary Science and Veterinary Medicine 1 4%
Other 3 12%
Unknown 15 58%