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Infections Associated with Solid Malignancies

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Infectious Complications in Cancer Patients

Part of the book series: Cancer Treatment and Research ((CTAR,volume 161))

Abstract

Although solid tumors comprise the vast majority of cancers, the incidence of serious infectious complications in this population is much less than in patients with hematologic malignancies. Most infections involving patients with solid tumors comprise two groups. First, patients acquire infections as a result of the cancer itself, due to either mass effect that interrupts normal function or destruction of the normal barriers to infection. Second, patients acquire infections as a complication of the treatments they receive, such as chemotherapy, radiation, surgery, or medical devices. Advances in the management of cancer have resulted in a gradual stepwise improvement in survival for patients with most types of solid tumors. Much of this improvement has been attributed to advances in cancer screening, diagnosis, and therapeutic modalities. In addition, improvements in the prevention, diagnosis, and treatment of infections have likely contributed to this prolonged survival. This review highlights select articles in the medical literature that shed light on the epidemiology and pathophysiology of infections in patients with solid tumors. In addition, this review focuses upon the diagnosis and treatment of these infections and their recent advances.

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References

  1. U.S. Cancer Statistics Working Group (2011) United States Cancer Statistics: 1999–2006 Incidence and Mortality Web-based Report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute 2010. Available at www.cdc.gov/uscs. Accessed 3 May 2011

  2. Pizzo PA, Robichaud KJ, Wesley R, Commers JR (1982) Fever in the pediatric and young adult patient with cancer: a prospective study of 1,001 episodes. Medicine. 61:153–165

    PubMed  CAS  Google Scholar 

  3. Singer C, Kaplan MH, Armstrong D (1977) Bacteremia and fungemia complicating neoplastic disease: a study of 364 cases. Am J Med 62:731–742

    PubMed  CAS  Google Scholar 

  4. Mathe G, Meyer P, Brienza S et al (1992) Retrospective study correlating clinical infectious history and peripheral blood T-cell subpopulations in cancer, GvH and HIV+ patients. Biomed Pharmacother 46:17–19

    PubMed  CAS  Google Scholar 

  5. Mayo JW, Wenzel RP (1982) Rates of hospital-acquired bloodstream infections in patients with specific malignancy. Cancer 50:187–190

    PubMed  CAS  Google Scholar 

  6. Elting LS, Bodey GP, Fainstein V (1986) Polymicrobial septicemia in the cancer patient. Medicine 65:218–225

    PubMed  CAS  Google Scholar 

  7. Raad I, Hachem R, Hanna H et al (2007) Sources and outcome of bloodstream infections in cancer patients: the role of central venous catheters. Eur J Clin Microbiol Infect Dis 26:549–556

    PubMed  CAS  Google Scholar 

  8. Ghanem GA, Boktour M, Warneke C et al (2007) Catheter-related Staphylococcus aureus bacteremia in cancer patients: high rate of complications with therapeutic implications. Medicine (Baltimore) 86:54–60

    Google Scholar 

  9. Crnich CJ, Maki DG (2002) The promise of novel technology for the prevention of intravascular device–related bloodstream infection. II. Long-term devices. Clin Infect Dis 34:1362–1368

    Google Scholar 

  10. Kumashi P, Girgawy E, Tarrand J, Rolston K et al (2005) Streptococcus pneumoniae bacteremia in patients with cancer: disease characteristics and outcomes in the era of escalating drug resistance (1998–2002). Medicine 84:303–312

    PubMed  Google Scholar 

  11. Freifeld AG, Bow EJ, Sepkowitz KA et al (2011) Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the Infectious Diseases Society of America. Clin Infect Dis 52:e56–e93

    PubMed  Google Scholar 

  12. Cullen M, Steven N, Billingham L et al (2005) Antibacterial prophylaxis after chemotherapy for solid tumors and lymphomas. Simple investigation in neutropenic individuals of the frequency of infection after chemotherapy +/− antibiotic in a number of tumors (SIGNIFICANT) trial group. N Engl J Med 353:988–998

    PubMed  CAS  Google Scholar 

  13. Meyer KC (2001) The role of immunity in susceptibility to respiratory infection in the aging lung. Respir Physiol 128:23–31

    PubMed  CAS  Google Scholar 

  14. Meyer KC (2004) Lung infections and aging. Ageing Res Rev 3:55–67

    PubMed  Google Scholar 

  15. Krumpe PE, Knudson RJ, Parsons G, Reiser K (1985) The aging respiratory system. Clin Geriatr Med 1:143–175

    PubMed  CAS  Google Scholar 

  16. Brugarolas A, Takita H (1973) Immunologic status in lung cancer. Chest 64:427–430

    PubMed  CAS  Google Scholar 

  17. Busch E, Verazin G, Antkowiak JG et al (1994) Pulmonary complications in patients undergoing thoracotomy for lung carcinoma. Chest 105:760–766

    PubMed  CAS  Google Scholar 

  18. Salvana EM, Salata RA (2009) Infectious complications associated with monoclonal antibodies and related small molecules. Clin Microbiol Rev 22:274–290

    PubMed Central  PubMed  CAS  Google Scholar 

  19. Jacobson KL, Miceli M, Tarrand J et al (2008) Legionella pneumonia in cancer patients. Medicine 87:152–159

    PubMed  Google Scholar 

  20. Dominguez A, Alvarez J, Sabria M et al (2009) Factors influencing the case-fatality rate of Legionnaires’ disease. Int J Tuberc Lung Dis 13:407–412

    PubMed  CAS  Google Scholar 

  21. Kohno S, Koga H, Oka M et al (1994) The pattern of respiratory infection in patients with lung cancer. Tohoku J Exp Med 173:405–411

    PubMed  CAS  Google Scholar 

  22. Strang C, Simpson JA (1953) Carcinomatous abscess of the lung. Thorax 8:11–25

    PubMed Central  PubMed  CAS  Google Scholar 

  23. Perlman LV, Lerner E, D’Esopo N (1969) Clinical classification and analysis of 97 cases of lung abscess. Am Rev Respir Dis 99:390–398

    PubMed  CAS  Google Scholar 

  24. Snider GL, Saleh SS (1968) Empyema of the thorax in adults: review of 105 cases. Dis Chest 54:410–415

    PubMed  CAS  Google Scholar 

  25. Feld R, Bodey GP, Groschel D (1976) Mycobacteriosis in patients with malignant disease. Arch Intern Med 136:67–70

    PubMed  CAS  Google Scholar 

  26. Kaplan MH, Armstrong D, Rosen P (1974) Tuberculosis complicating neoplastic disease: a review of 201 cases. Cancer 33:850–858

    PubMed  CAS  Google Scholar 

  27. Kamboj M, Sepkowitz KA (2006) The risk of tuberculosis in patients with cancer. Clin Infect Dis 42:1592–1595

    PubMed  Google Scholar 

  28. Centers for Disease control and Prevention (2000) Targeted tuberculin testing and treatment of latent tuberculosis. MMWR 49(6):1–54

    Google Scholar 

  29. Snider GL, Placik B (1969) The relationship between pulmonary tuberculosis and bronchogenic carcinoma: a topographic study. Am Rev Resp Dis 99:229–236

    PubMed  CAS  Google Scholar 

  30. Nagata N, Nikaido Y, Kido M et al (1993) Terminal pulmonary infections in patients with lung cancer. Chest 103:1739–1742

    PubMed  CAS  Google Scholar 

  31. Ohmagari N, Raad II, Hachem R, Kontoyiannis DP (2004) Invasive aspergillosis in patients with solid tumors. Cancer 101:2300–2302

    PubMed  Google Scholar 

  32. Smith FB, Bveneck B (1991) Localized Aspergillus infestation in primary lung carcinoma: clinical and pathological contrasts with post-tuberculous intracavitary aspergilloma. Chest 100:554–556

    PubMed  CAS  Google Scholar 

  33. De Vuyst P, De Troyer A, Yerault J et al (1980) Aspergilloma in a necrotic bronchial adenocarcinoma. Eur J Respir Dis 61:213–217

    PubMed  Google Scholar 

  34. Meyer RD, Young LS, Armstrong D, Yu B (1973) Aspergillosis complicating neoplastic disease. Am J Med 54:6–15

    PubMed  CAS  Google Scholar 

  35. Borkin MH, Arena FP, Brown AE, Armstrong D (1980) Invasive aspergillosis with massive fatal hemoptysis in patients with neoplastic disease. Chest 7(8):835–839

    Google Scholar 

  36. Smith JM, Hampton JR, Webb RW (1979) Disseminated aspergillosis, Cushing’s syndrome, and oat cell carcinoma of the lung. Chest 76:112–113

    PubMed  CAS  Google Scholar 

  37. Sidransky H, Friedman L (1959) The effect of cortisone and antibiotic agent on experimental pulmonary aspergillosis. Am J Pathol 35:169–183

    PubMed Central  PubMed  CAS  Google Scholar 

  38. Hasan FM, Jarrah T, Nassar V (1978) The association of adenocarcinoma of the lung and blastomycosis from an unusual geographical location. Br J Dis Chest 72:242–246

    PubMed  CAS  Google Scholar 

  39. Kaplan W, Clifford MK (1964) Blastomycosis. I. A review of 198 collected cases in Veterans administration hospitals. Am Rev Resp Dis 89:659–672

    PubMed  CAS  Google Scholar 

  40. Haron E, Vartivarian S, Anaissie E et al (1993) Primary Candida pneumonia: experience at a large cancer center and review of the literature. Medicine 72:137–142

    PubMed  CAS  Google Scholar 

  41. Torres A, Chemaly RF, Storey R et al (2006) Influence of type of cancer and hematopoietic stem cell transplantation on clinical presentation of Pneumocystis jiroveci pneumonia in cancer patients. Eur J Clin Microbiol Infect Dis 25:382–388

    PubMed  CAS  Google Scholar 

  42. Yale SH, Limper AH (1996) Pneumocystis carinii pneumonia in patients without acquired immunodeficiency syndrome: associated illnesses and prior corticosteroid therapy. Mayo Clinic Proc 71:5–13

    CAS  Google Scholar 

  43. Frenkel JK, Good JT, Shultz JA (1966) Latent Pneumocystis infection in rats, relapse, and chemotherapy. Lab Invest 15:1559–1577

    PubMed  CAS  Google Scholar 

  44. Walzer PD, LaBine M, Redington TJ, Cushion MT (1984) Lymphocyte changes during chronic administration of and withdrawal from corticosteroids: relation to Pneumocystis carinii pneumonia. J Immunol 133:2502–2508

    PubMed  CAS  Google Scholar 

  45. Sepkowitz KA, Brown AE, Telzak EE et al (1992) Pneumocystis carinii pneumonia among patients without AIDS at a cancer hospital. JAMA 267:832–837

    PubMed  CAS  Google Scholar 

  46. Henson JW, Jalaj JK, Walker RW et al (1991) Pneumocystis carinii pneumonia in patients with primary brain tumors. Arch Neurol 48:406–409

    PubMed  CAS  Google Scholar 

  47. Poplin EA, Gordon CJ, Piskorowski TJ, Chandrasekar PH (1991) Pneumocystis carinii pneumonia in patients with solid tumors without acquired immune deficiency syndrome. Cancer 68:193–194

    PubMed  CAS  Google Scholar 

  48. Kovacs JA, Hiemenz JW, Macher AM et al (1984) Pneumocystis carinii pneumonia: a comparison between patients with the acquired immunodeficiency syndrome and patients with other immunodeficiencies. Ann Intern Med 100:663–671

    PubMed  CAS  Google Scholar 

  49. Limper AH, Offord KP, Smith TF, Martin WJ (1989) Pneumocystis carinii pneumonia: differences in lung parasite number and inflammation in patients with and without AIDS. Am Rev Respir Dis 140:1204–1209

    PubMed  CAS  Google Scholar 

  50. Sepkowitz KA (1996) Pneumocystis carinii pneumonia without acquired immunodeficiency syndrome: who should receive prophylaxis? Mayo Clin Proc 71:102–103

    PubMed  CAS  Google Scholar 

  51. Camazine B, Antkowiak JG, Nava MER et al (1995) Herpes simplex viral pneumonia in the postthoracotomy patient. Chest 108:876–879

    PubMed  CAS  Google Scholar 

  52. Ring A, Marx G, Steer C, Harper P (2002) Influenza vaccination and chemotherapy: a shot in the dark? Support Care Cancer 10:462–465

    PubMed  Google Scholar 

  53. Nordoy T, Aaberge IS, Husebekk A et al (2002) Cancer patients undergoing chemotherapy show adequate serological response to vaccinations against influenza virus and Streptococcus pneumoniae. Med Oncol 19:71–78

    PubMed  Google Scholar 

  54. Coggle JE, Lambert BE, Moores SR (1986) Radiation effects in the lung. Environ Health Perspect 70:261–291

    PubMed Central  PubMed  CAS  Google Scholar 

  55. Gross NJ (1977) Pulmonary effects of radiation therapy. Ann Intern Med 86:81–92

    PubMed  CAS  Google Scholar 

  56. McInerney DP, Bullimore J (1977) Reactivation of radiation pneumonitis by adriamycin. Br J Radio 50:224–227

    Google Scholar 

  57. Azoulay E, Bergeron A, Chevret S et al (2009) Polymerase chain reaction for diagnosing Pneumocystis pneumonia in non-HIV immunocompromised patients with pulmonary infiltrates. Chest 135:655–661

    PubMed  CAS  Google Scholar 

  58. Fujisawa T, Suda T, Matsuda H et al (2009) Real-time PCR is more specific than conventional PCR for induced sputum diagnosis of Pneumocystis pneumonia in immunocompromised patients without HIV infection. Respirology 14:203–209

    PubMed  Google Scholar 

  59. Durand-Jolya I, Chabéa M, Soulaa F et al (2005) Molecular diagnosis of Pneumocystis pneumonia. FEMS Immunol Med Microbiol 45:405–410

    Google Scholar 

  60. Schwarz MI, Whitcomb ME, Goldman AL (1973) The spectrum of diffuse pulmonary infiltration in malignant disease. Chest 64:88–93

    PubMed  CAS  Google Scholar 

  61. Pisani RJ, Wright AJ (1992) Clinical utility of bronchoalveolar lavage in immunocompromised hosts. Mayo Clin Proc 67:221–227

    PubMed  CAS  Google Scholar 

  62. Shure D (1989) Transbronchial biopsy and needle aspiration. Chest 95:1130–1138

    PubMed  CAS  Google Scholar 

  63. Pomahac B, Recht A, May JW et al (2006) New trends in breast cancer management. Is the era of immediate breast reconstruction changing? Ann Surg 244:282–288

    PubMed Central  PubMed  Google Scholar 

  64. Noguchi M (2010) Axillary reverse mapping for breast cancer. Breast Cancer Res Treat 119:529–535

    PubMed  Google Scholar 

  65. Nahabedian MY, Tsangaris T, Bahram M, Manson PN (2003) Infectious complications following breast reconstruction with expanders and implants plastic and reconstructive surgery. Plast Reconstr Surg 112:467–476

    PubMed  Google Scholar 

  66. Brewer VH, Hahn KA, Rohrbach BW, Bell JL, Baddour LM (2000) Risk factor analysis for breast cellulitis complicating breast conservation therapy. Clin Infect Dis 31:654–659

    PubMed  CAS  Google Scholar 

  67. Rotstein C, Ferguson R, Cummings KM et al (1992) Determinants of clean surgical wound infections for breast procedures at an oncology center. Infect Control Hosp Epidemiol 13:207–214

    PubMed  CAS  Google Scholar 

  68. Bunn F, Cunningham ME, Handscomb K (2006) Prophylactic antibiotics to prevent surgical site infection after breast cancer surgery. Cochrane Database Syst Rev 2:CD005360

    PubMed  Google Scholar 

  69. Sauter ER, Eisenberg BL, Hoffman JP et al (1993) Postmastectomy morbidity after combination preoperative irradiation and chemotherapy for locally advanced breast cancer. World J Surg 27:237–242

    Google Scholar 

  70. Vinton AL, Traverso LW, Jolly PC (1991) Wound complications after modified radical mastectomy compared with tylectomy with axillary lymph node dissection. Am J Surg 161:584–588

    PubMed  CAS  Google Scholar 

  71. Mozes M, Papa MZ, Karasik A, Reshef A, Adar R (1982) The role of infection in post-mastectomy lymphedema. Surg Ann 14:73–83

    CAS  Google Scholar 

  72. Bertelli G, Venturini M, Forno G, Macchiavello F, Dini D (1992) An analysis of prognostic factors in response to conservative treatment of postmastectomy lymphedema. Surg Gynecol Obstet 175:455–460

    PubMed  CAS  Google Scholar 

  73. Simon MS, Cody RL (1992) Cellulitis after axillary lymph node dissection for carcinoma of the breast. Am J Med 93:543–548

    PubMed  CAS  Google Scholar 

  74. Stanton AW, Modi S, Mellor RH et al (2009) Recent advances in breast cancer related lymphedema of the arm: lymphatic pump failure and predisposing factors. Lymphat Res Biol 7:29–45

    PubMed  Google Scholar 

  75. Chaudhuri K, Lonergan D, Portek I, McGuigan L (1993) Septic arthritis of the shoulder after mastectomy and radiotherapy for breast carcinoma. J Bone Joint Surg Br 75:318–321

    PubMed  CAS  Google Scholar 

  76. Rescigno J, McCormick B, Brown AE, Myskowski PL (1994) Breast cellulitis after conservative surgery and radiotherapy. Int J Radiat Oncol Biol Phys 29:163–168

    PubMed  CAS  Google Scholar 

  77. Olivotto IA, Weir L, Kim-Sing C (1995) In response to Rescigno et al. Int J Radiat Oncol Biol Phys 31:203

    PubMed  CAS  Google Scholar 

  78. Keidan RD, Hoffman JP, Weese JL et al (1990) Delayed breast abscesses after lumpectomy and radiation therapy. Am Surg 56:440–444

    PubMed  CAS  Google Scholar 

  79. Parry BR (1992) Radiation recall induced by tamoxifen. Lancet 340:49

    PubMed  CAS  Google Scholar 

  80. Rostom AY, El-Sayed ME (1987) Fat necrosis of the breast: an unusual complication of lumpectomy and radiotherapy in breast cancer. Clin Radiol 38:31

    PubMed  CAS  Google Scholar 

  81. Styring E, Fernebro J, Jönsson PE et al (2010) Changing clinical presentation of angiosarcomas after breast cancer: from late tumors in edematous arm to earlier tumors on the thoracic wall. Breast Cancer Res Treat 122:883–887

    PubMed  Google Scholar 

  82. Hodgson NC, Bowen-Wells C, Moffat F, Franceschi D, Avisar E (2007) Angiosarcomas of the breast: a review of 70 cases. Am J Clin Oncol 30:570–573

    PubMed  Google Scholar 

  83. Bertelli G, Dini D, Forno GG, Gozza A (1994) Preventing cellulitis after axillary lymph node dissection. Am J Med 97:202–203

    PubMed  CAS  Google Scholar 

  84. Dixon JM (1994) Breast infection. Br Med J 309:946–949

    CAS  Google Scholar 

  85. Finegold SM (1995) Anaerobic bacteria: general concepts. In: Mandell GL, Bennett JE, Dolin R (eds) Mandell, douglas and bennett’s principles and practice of infectious diseases, 4th edn. Churchill Livingstone, New York, pp 2156–2173

    Google Scholar 

  86. Klein RS, Recco RA, Catalano MT, Edberg SC, Casey JI, Steigbigel NH (1977) Association of Streptococcus bovis with carcinoma of the colon. N Engl J Med 297:800–802

    PubMed  CAS  Google Scholar 

  87. Klein RS, Catalano MT, Edberg SC, Casey JI, Steigbigel NH (1979) Streptococcus bovis septicemia and carcinoma of the colon. Ann Intern Med 91:560–562

    PubMed  CAS  Google Scholar 

  88. Grinberg M, Mansur AJ, Ferreira DO, Bellotti G, Pileggi F (1990) Endocarditis caused by Streptococcus bovis and colorectal neoplasms. Arc Bras Cardiol 54:265–269

    CAS  Google Scholar 

  89. Fass R, Alim A, Kaunitz JD (1995) Adenocarcinoma of the colon presenting as Streptococcus sanguis bacteremia. Am J Gastroenterol 90:1343–1345

    PubMed  CAS  Google Scholar 

  90. Wiseman A, Rene P, Crelinsten GL (1985) Streptococcus agalactiae endocarditis: an association with villous adenomas of the large intestine. Ann Intern Med 103:893–894

    PubMed  CAS  Google Scholar 

  91. Gelfand MS, Hughey JR, Sloas DD (1994) Group B streptococcal bacteremia associated with adenocarcinoma of the stomach. Clin Infect Dis 39:364

    Google Scholar 

  92. Gorbach SL, Thadepalli H (1975) Isolation of Clostridium in human infections: evaluation of 114 cases. J Infect 131:S81–S85

    Google Scholar 

  93. Kornbluth AA, Danzig JB, Bernstein LH (1989) Clostridium septicum infection and associated malignancy: report of 2 cases and review of the literature. Medicine 68:30–37

    PubMed  CAS  Google Scholar 

  94. Katlic MR, Derkac WM, Coleman WS (1981) Clostridium septicum infection and malignancy. Ann Surg 193:361–364

    PubMed Central  PubMed  CAS  Google Scholar 

  95. Koransky JR, Stargel MD, Dowell VR (1979) Clostridium septicurn bacteremia: its clinical significance. Am J Med 66:63–66

    PubMed  CAS  Google Scholar 

  96. Kaiser CW, Milgrom ML, Lynch JA (1986) Distant nontraumatic clostridial myonecrosis and malignancy. Cancer 57:885–889

    PubMed  CAS  Google Scholar 

  97. Hovenden JL, Murdoch GE, Evans AT (1992) Non-traumatic Clostridium septicum arthritis in a patient with caecal carcinoma. Br J Rheumatol 31:571–572

    PubMed  CAS  Google Scholar 

  98. Fallon SM, Guzik HJ, Kramer JE (1986) Clostridium septicum arthritis associated with colonic carcinoma. J Rheumatol 13:662–663

    PubMed  CAS  Google Scholar 

  99. Alpern RJ, Dowell VR (1969) Clostridium septicum infections and malignancy. JAMA 209:385–388

    PubMed  CAS  Google Scholar 

  100. Rucker CM, Menias CO, Bhalla S, Geraghty P, Heiken JP (2004) Clostridium septicum infrarenal aortitis secondary to occult cecal adenocarcinoma. AJR Am J Roentgenol 183:1316–1318

    PubMed  Google Scholar 

  101. Gorse GJ, Slater LM, Sobol E et al (1984) Infection and bacteremia due to Clostridium septicum. Arch Neurol 41:882–884

    PubMed  CAS  Google Scholar 

  102. Kahn SP, Lindenauer SM, Wojtalik RS et al (1972) Clostridia hepatic abscess: an unusual manifestation of metastatic colon carcinoma. Arch Surg 104:209–212

    PubMed  CAS  Google Scholar 

  103. Kudsk KA (1992) Occult gastrointestinal malignancies producing metastatic Clostridium septicum infections in diabetic patients. Surgery 112:765–772

    PubMed  CAS  Google Scholar 

  104. Abella BS, Kuchinic P, Hiraoka T, Howes DS (2003) Atraumatic clostridial myonecrosis: case report and literature review. J Emerg Med 24:401–405

    PubMed  Google Scholar 

  105. Jendrzejewski JW, Jones SR, Newcombe RL, Gilbert DN (1978) Nontraumatic clostridial myonecrosis. Am J Med 65:542–546

    PubMed  CAS  Google Scholar 

  106. Cohen JL, Martin M, Rossi RL, Schoetz DJ (1989) Liver abscess: the need for complete gastrointestinal evaluation. Arch Surg 124:561–564

    PubMed  CAS  Google Scholar 

  107. Marcus SG, Walsh TJ, Pizzo PA, Danforth DN (1993) Hepatic abscess in cancer patients: characterization and management. Arch Surg 128:1358–1364

    PubMed  CAS  Google Scholar 

  108. Harnik IG (2007) Pyogenic liver abscess presenting after malignant polypectomy. Dig Dis Sci 52:3524–3525

    PubMed  Google Scholar 

  109. Okada S, Aoki K, Okazaki N et al (1993) Liver abscess after percutaneous ethanol injection (PEI) therapy for hepatocellular carcinoma. A case report. Hepato-gastroenterology 40:496–498

    PubMed  CAS  Google Scholar 

  110. Isobe H, Sakamoto S, Nawata H (1992) Splenic abscess as a complication of percutaneous ethanol injection therapy for hepatocellular carcinoma. J Clin Gastroenterol 15:167–169

    PubMed  CAS  Google Scholar 

  111. Teitz S, Guidetti-Sharon A, Manor H, Halevy A (1995) Pyogenic liver abscess: warning indication of silent colonic cancer: report of a case and review of the literature. Dis Colon Rectum 38:1220–1223

    PubMed  CAS  Google Scholar 

  112. Lonardo A, Grisendi A, Pulvirenti M et al (1992) Right colon adenocarcinoma presenting as Bacteroides fragilis liver abscesses. J Clin Gastroenterol 14:335–338

    PubMed  CAS  Google Scholar 

  113. Brooker DC, Savage JE, Twiggs LB et al (1987) Infectious morbidity in gynecologic cancer. Am J Obstet Gynecol 156:513–520

    PubMed  CAS  Google Scholar 

  114. WeIton JA (1965) Significance of infection in carcinonia of the cervix. Obstet Gynecol 26:441–446

    Google Scholar 

  115. Rose PG, Wilson G (1994) Advanced cervical carcinoma presenting with toxic shock syndrome. Gynecol Oncol 52:264–266

    PubMed  CAS  Google Scholar 

  116. Barton DPJ, Fiorica JV, Hoffman MS et al (1993) Cervical cancer and tuboovarian abscesses: A report of three cases. J Reprod Med 38:561–564

    PubMed  CAS  Google Scholar 

  117. Imachi M, Tanaka S, Ishikawa S, Matsuo K (1993) Spontaneous perforation of pyometra presenting as generalized peritonitis in a patient with cervical cancer. Gynecol Oncol 50:384–388

    PubMed  CAS  Google Scholar 

  118. Douvier S, Nabholtz J-M, Friedman S et al (1989) Infectious pneumoperitoneum as an uncommon presentation of endometrial carcinoma: report of two cases. Gynecol Oncol 33:392–394

    PubMed  CAS  Google Scholar 

  119. Andriessen MPHM, Mulder JG, Sleijfer DT (1991) Lactobacillus septicemia, an unusual complication during the treatment of metastatic choriocarcinoma. Gynecol Oncol 40:87–89

    PubMed  CAS  Google Scholar 

  120. Connor JP, Buller RE (1994) Lactobacillus sepsis with pelvic abscess. Gynecol Oncol 54:99–100

    PubMed  CAS  Google Scholar 

  121. Van Nagell JR, Parker JC, Maruyama Y et al (1977) The effect of pelvic inflammatory disease on enteric complications following radiation therapy for cervical cancer. Am J Obstet Gynecol 128:767–771

    PubMed  Google Scholar 

  122. Graham JE (1990) Infectious morbidity in gynecologic oncology. J Reprod Med 35:348–352

    PubMed  Google Scholar 

  123. Lamm DL, van der Meijden PM, Morales A et al (1992) Incidence and treatment of complications of Bacillus Calmette-Guérin intravesical therapy in superficial bladder cancer. J Urol 147:596–600

    PubMed  CAS  Google Scholar 

  124. Proctor DD, Chopra S, Rubenstein SC et al (1993) Mycobacteremia and granulomatous hepatitis following initial intravesical Bacillus Calmette-Guérin installation for bladder carcinoma. Am J Gastroenterol S8:1112–1115

    Google Scholar 

  125. Hakim S, Heaney JA, Heinz T, Zwolak RW (1993) Psoas abscess following intravesical Bacillus Calmette-Guérin for bladder cancer: a case report. J Urol I50:188–189

    Google Scholar 

  126. Katz DS, Wogalter H, D’Esposito RF, Cunha BA (1992) Mycobacterium bovis vertebral osteomyelitis and psoas abscess after intravesical BCG therapy for bladder carcinoma. Urology 40:63–66

    PubMed  CAS  Google Scholar 

  127. Chazerain P, Desplaces N, Mamoudy P et al (1993) Prosthetic total knee infection with a Bacillus Calmette Guérin (BCG) strain after BCG therapy for bladder cancer. J Rheumatol 20:2171–2172

    PubMed  CAS  Google Scholar 

  128. Van Thiel RJ, Nossent GD, Tjonpiangi NP (1992) Articular complications of intravesical BCG treatment for bladder carcinoma. Br J Urol 70:446–447

    PubMed  Google Scholar 

  129. Alvarez-Mugica M, Gomez JMF, Vazquez VB et al (2009) Pancreatic and psoas abscesses as a late complication of intravesical administration of Bacillus Calmette-Guérin for bladder cancer: a case report and review of the literature. J Med Case Reports 3:7323

    PubMed Central  Google Scholar 

  130. Colebatch AN, Mounce KE (2010) Mycobacterium bovis discitis as a complication of intravesical Bacillus Calmette-Guérin therapy. J Clin Rheumatol 16:74–75

    PubMed  Google Scholar 

  131. Seelig M, Oldenburg W, Klingler P et al (1999) Mycotic vascular infections of large arteries with Mycobacterium bovis after intravesical bacillus Calmette-Guérin therapy case report. J Vasc Surg 29:377–381

    PubMed  CAS  Google Scholar 

  132. Kristjansson M, Green P, Manning HL et al (1993) Molecular confirmation of bacillus Calmette-Guérin as the cause of pulmonary infection following urinary tract installation. Clin Infect Dis 17:228–230

    PubMed  CAS  Google Scholar 

  133. Jawad ASM, Kahn L, Copland RFP et al (1993) Reactive arthritis associated with bacillus Calmette-Guérin immunotherapy for carcinoma of the bladder: a report of two cases. Br J Rheumatol 32:1018–1020

    PubMed  CAS  Google Scholar 

  134. Tinazzi E, Vincenzo F, Simeoni S et al (2006) Reactive arthritis following BCG immunotherapy for urinary bladder carcinoma: a systematic review. Rheurmatol Int 26:481–488

    Google Scholar 

  135. Pancaldi P, Van Linthoudt D, Alborino D et al (1993) Reiter’s syndrome after intravesical bacillus Calmette-Guérin treatment for superficial bladder carcinoma. Br J Rheumatol 199332:1096–1098

    Google Scholar 

  136. Bonner JA, Harari PM, Giralt J et al (2006) Radiotherapy plus cetuximab for squamous-cell carcinoma of the head and neck. N Engl J Med 354:567–578

    PubMed  CAS  Google Scholar 

  137. Burtness B, Goldwasser MA, Flood W et al (2005) Phase III randomized trial of cisplatin plus placebo compared with cisplatin plus cetuximab in metastatic/recurrent head and neck cancer: an Eastern Cooperative Oncology Group Study. J Clin Oncol 23:8646–8654

    PubMed  Google Scholar 

  138. Haddad RI, Shin DM (2008) Recent Advances in Head and Neck Cancer. N Engl J Med 359(11):1143–1154

    PubMed  CAS  Google Scholar 

  139. Chambers MS, Garden AS, Kies MS, Martin JW (2004) Radiation-induced xerostomia in patients with head and neck cancer: pathogenesis, impact on quality of life, and management. Head Neck 26:796–807

    PubMed  Google Scholar 

  140. Ariyan S (1979) Infections following surgery for head and neck cancer. Clin Plast Surg 6:523–535

    PubMed  CAS  Google Scholar 

  141. Curtis TA, Griffith MR, Firtell DN (1976) Complete denture prosthodontics for the radiation patient. J Prosthet Dent 36:66–76

    PubMed  CAS  Google Scholar 

  142. Brown LR, Dreizen S, Handler S, Johnston DA (1975) Effect of radiation-induced xerostomia on human oral microflora. J Dent Res 54:740–750

    PubMed  CAS  Google Scholar 

  143. Dreizen S, Brown LR, Handler S, Levy BM (1976) Radiation-induced xerostomia in cancer patients: effect on salivary and serum electrolytes. Cancer 38:273–278

    PubMed  CAS  Google Scholar 

  144. Martin MV, Al-Tikriti U, Bramley PA (1981) Yeast flora of the mouth and skin during and after irradiation for oral and laryngeal cancer. J Med Microbiol 14:457–467

    PubMed  CAS  Google Scholar 

  145. Bartlett JG, Gorbach SL (1976) Anaerobic infections of the head and neck. Otolarygol Clin North 9:655–678

    CAS  Google Scholar 

  146. Sawyer R (1988) Clinical implications of metronidazole antianaerobic prophylaxis in major head and neck surgical procedures. Ear Nose Throat J 67:655–662

    PubMed  CAS  Google Scholar 

  147. Robbins KT, Byers RM, Cole R, Fainstein V, Guillamondegui OM, Schantz SP, Weber RS, Wolf P, Goepfert H (1988) Wound prophylaxis with metronidazole in head and neck surgical oncology. Laryngoscope 98:803–806

    PubMed  CAS  Google Scholar 

  148. Brook I, Hirokawa R (1989) Microbiology of wound infection after head and neck cancer surgery. Ann Otol Rhino1 Laryngol 98:323–325

    Google Scholar 

  149. Coleman JJ (1986) Complications in head and neck surgery. Surg Clin North Am 66:149–167

    PubMed  Google Scholar 

  150. Tandon DA, Bahadur S, Laldina HC, Sundaram KR (1992) Role of prophylactic antibiotics in surgery for advanced head and neck cancer. J Laryngol Otol 106:621–624

    PubMed  CAS  Google Scholar 

  151. Robbins KT, Favrot S, Hanna D, Cole R (1990) Risk of wound infection in patients with head and neck cancer. Head Neck 12:143–148

    PubMed  CAS  Google Scholar 

  152. Brown BM, Johnson JT, Wagner RL (1987) Etiologic factors in head and neck wound infections. Laryngoscope 97:587–590

    PubMed  CAS  Google Scholar 

  153. Hussain M, Kish JA, Crane L et al (1991) The role of infection in the morbidity and mortality of patients with head and neck cancer undergoing multimodal therapy. Cancer 67:716–721

    PubMed  CAS  Google Scholar 

  154. Papac RJ (1985) Medical aspects of head and neck cancer. Cancer Invest 3:435–444

    PubMed  CAS  Google Scholar 

  155. Weber RS, Hankins P, Kosenbaum B, Rand I (1993) Nonwound infections following head and neck oncologic surgery. Laryngoscope 103:22–27

    PubMed  CAS  Google Scholar 

  156. Jansma J, Vissink A, Spijkervet FKL et al (1992) Protocol for the prevention and treatment of oral sequelae resulting from head and neck radiation therapy. Cancer 70:2171–2180

    PubMed  CAS  Google Scholar 

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Acknowledgments

John P. Flaherty, MD, was the senior author of the initial edition of this article; I appreciate his contributions to this work and his guidance during my infectious disease training.

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Correspondence to Sarah H. Sutton .

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Sutton, S.H. (2014). Infections Associated with Solid Malignancies. In: Stosor, V., Zembower, T. (eds) Infectious Complications in Cancer Patients. Cancer Treatment and Research, vol 161. Springer, Cham. https://doi.org/10.1007/978-3-319-04220-6_13

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