This is the same middle-aged man presented in the previous clinical vignette. He had undergone allogeneic stem cell transplantation (allo-HSCT) for underlying B-cell leukemia, with subsequent acute graft-versus-host disease (GVHD) of the liver. This was complicated 6 months later by RSV pneumonitis as previously described. His recovery was slow and required oxygen support even 3 […]

A middle-aged man presented with acute lymphoblastic leukemia (initial white cell count of 150,000 per cubic millimetre of blood – mostly blasts). After completing a course of hyper-CVAD, he developed persistent febrile neutropenia that was unresponsive to antibiotics. On the 6th day of fever, CT thorax was performed which was normal. On the 8th day […]