Table 1 Patient’s timeline
Day | Patient’s illness |
|---|---|
1 | Induction chemotherapy for acute myeloid leukemia (cytarabine + idarubicin) Prophylactic antibiotics (ciprofloxacin) |
3 | White blood cell count reached it its nadir |
13 | Neutropenic fever developed Right pleuritic chest pain with productive coughing and sticky sputum Pneumonia developed Changed to meropenem and vancomycin |
17 | Neutropenic fever persisted Pneumonia aggregation Exudative pleural effusion Enterococcus faecium with resistance to vancomycin in pleural effusion Meropenem and linezolid, and caspofungin |
19 | White blood cell count recovered within normal range Complete remission for acute myeloid leukemia through bone marrow biopsy Developed sudden cough that would become more severe after swallowing Esophagram; thin fistula at the mid-esophagus and the right bronchus intermedius Chest computed tomography imaging; extensive necrotizing pneumonia of the right lung and suspicious for a bronchoesophageal fistula Bronchoscopy; hyperemic mucosa on right upper bronchus and brownish necrotic tissue in the middle lobe of his right lung Esophagoscopy; a large linear defect of the esophageal wall |
20 | Mucormycosis confirmed Amphotericin B instead of caspofungin Sudden death due to hemoptysis |