Contributed by David Sholevar, MD., Carla Baxter and A. William Pasculle, Sc.D.
Published on line in March 1997
The patient is a 33 year old male diagnosed with Acute Promyelocytic Leukemia approximately one and a half years ago who was admitted for high dose chemotherapy and allograft peripheral blood stem cell transplant. Approximately 3 hours following administration of prophylactic IVIG through a previously placed Hickman catheter, the patient became febrile to 39.4 Celsius. The patient had been on prophylactic antibiotics and subsequently became afebrile on the following day. The anaerobic blood culture bottle yielded organisms and is shown below with the gram stain and biochemical profile.