Table 2.
Age group (years) | Biofire | Discharge diagnosis by clinician | Comorbidities during diagnosis | Imaging | Antibiotics | Outcome |
---|---|---|---|---|---|---|
5–10 | Norovirus | Norovirus | none | none | none | Outpatient |
20–29 | Negative | Laxative-induced | none | none | none | Outpatient |
30–39 | Negative | Neutropenic enterocolitis (S. aureus not contributory) | Relapsed metastatic neuroblastoma status-post autologous hematopoietic stem cell transplant complicated by febrile neutropenia | CT: small bowel thickening | Vancomycin IV, cefepime IV, metronidazole IV | Discharged home with resolution |
30–39 | Campylobacter | Campylobacter | none | none | Azithromycin | Outpatient |
30–39 | Negative | Laxative-induced | Diabetic ketoacidosis, Staphylococcus aureus bacteremia complicated by epidural abscess and sepsis | none | Vancomycin IV | Discharged home with resolution |
50–59 | Negative | Neutropenic enterocolitis (S. aureus not contributory) | Myelodysplastic syndrome status-post allogeneic hematopoietic stem cell transplant complicated by febrile neutropenia | CT: small bowel thickening | Vancomycin IV, cefepime IV, metronidazole IV | Discharged home with resolution |
70–79 | Negative | Neutropenic enterocolitis (attributed to S. aureus) | Acute myelogenous leukemia status-post induction chemotherapy complicated by febrile neutropenia, clinically quiescent Crohn's disease | CT: small bowel thickening and dilatation, pneumatosis | Piperacillin-tazobactam, vancomycin IV, vancomycin PO | Died of septic shock secondary to MRSA enterocolitis with severe neutropenia |
Cultures obtained at the University of Washington Medical Center and Seattle Cancer Care Alliance.