Acute respiratory distress syndrome during neutropenia recovery |
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Authors: | Élie Azoulay Michael Darmon |
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Institution: | 1.AP-HP, Hôpital Saint-Louis, Medical ICU, University Paris-7 Paris-Diderot, UFR de Médecine, 1 avenue Claude Vellefaux, 75010 Paris, France |
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Abstract: | Acute respiratory failure is a life-threatening complication in cancer patients. During neutropenia, patients are at high
risk for bacterial pneumonia or invasive fungal infections, when neutropenia is prolonged. A high proportion of patients in
whom neutropenia had been complicated by pneumonia will present with substantial respiratory deterioration during neutropenia
recovery. Patients with fungal pneumonia and those receiving granulocyte colony-stimulating factor to shorten neutropenia
duration may be at higher risk for this acute lung injury/acute respiratory distress syndrome during neutropenia recovery.
Routine screening of patient's risk factors is crucial since first symptoms of acute respiratory distress syndrome may occur
before biological leukocyte recovery. |
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Keywords: | |
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