Table 2.
Symptoms at Onset | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Case | Year | Age | Underlying Diseases | WBC Count at Onset | Fever | Headache | Vomiting | Diarrhea | Abdominal Pain | Neurological Abnormalities | CNS Disease | Treatment | Outcome | Reference |
1 | 1973 | 63 | AML | 400a | + | Coma | Brain abscess | GM, OXA, CBC | Dead | 5 | ||||
2 | 1981 | 19 | AML | <100 | + | Meningitis | GM, PCG | Dead | 6 | |||||
3 | 1988 | 67 | MDS/AML | 100a | + | + | + | Meningoencephalitis/SAH | GM, LM, PIPC | Dead | 7 | |||
4 | 1989 | 3 | ALL | 20 | + | Lethargy | Brain abscess | CP, VCM, GM, RFP | Alive | 8 | ||||
5 | 1995 | 26 | AML | 20 | + | Visual disturbance | Meningoencephalitis/SAH | CAZ | Dead | 9 | ||||
6 | 1997 | 64 | AML | 300 | + | + | + | Meningoencephalitis/SAH | PIPC, GM, CPZ, CTX, ABPC | Dead | 10 | |||
7 | 1997 | 20 | ALL | 0 | + | + | + | + | Speech disturbance, Sensory disturbance | Cerebral infarction (basal ganglia) | Dead | 11 | ||
8 | 1999 | 13 | ALL | 0 | + | + | Meningoencephalitis/hydrocephalus | Alive, Severe sequelae | 11 | |||||
9 | 1999 | 15 | ALL | 0 | + | + | Meningoencephalitis | Dead | 11 | |||||
10 | 1999 | 30 | AML | <100 | + | + | Delirium, hyperventilation | Necrotic meningoencephalitis | CAZ, AMK | Dead | 12 | |||
11 | 1999 | 43 | AML | <100 | + | + | + | + | + | Delirium, decerebrate rigidity | Meningoencephalitis | CAZ, AMK → VCM, GM & others | Dead | 12 |
12 | 1999 | 14 | ALL | <100 | + | Delirium, epilepsy, coma | Meningoencephalitis | CAZ, AMK & others | Dead | 12 | ||||
13 | 2003 | 16 | AA | 90 | + | + | Nuchal rigidity, epilepsy, consciousness disturbance | Meningoencephalitis | CAZ, IPM/CS | Dead | 13 | |||
14 | 2005 | 19 | HD | 0 | + | Confusion, epilepsy, hemiparesis | Meningoencephalitis | ABPC, AMK, CPFX, TEIC, CLDM | Alive | 14 | ||||
Our | case | 54 | AML | <100 | + | + | + | disorientation, slurred speech, and confusion | Meningoencephalitis/hydrocephalus brain abscess | MEPM, LZD, VCM | Alive |
adenotes the number of neutrophils
Abbreviations: AA Aplastic anemia, ABPC Ampicillin, ALL Acute lymphoblastic leukemia, AMK Amikacin, AML Acute myelogenous leukemia, CAZ ceftazidime, CBC, carbenicillin, CLDM Clindamycin, CNS Central nervous system, CP Chloramphenicol, CPFX Ciprofloxacin, CPZ Cefoperazone, CTX Cefotaxime, GM Gentamicin, HD Hodgkin disease, IPM/CS Imipenem/cilastatin, LM Lincomycin, LZD Linezolid, MDS Myelodysplastic syndrome, MEPM Meropenem, OXA Oxacillin, PCG Penicillin G, PIPC Piperacillin, RFP Rifampin, VCM Vancomycin