A 78-year-old woman, diagnosed with gastric cancer, developed fever four months after receiving second-line chemotherapy with paclitaxel monotherapy. She had previously developed gastrointestinal complications after receiving first-line chemotherapy with ramucirumab plus paclitaxel. She had a temperature of 38.0°C and presented with no other abnormalities. She was treated at the out-patient department and discharged. Her blood count, serum analysis, blood culture and urine analysis were normal. However, she reported to the hospital with a temperature of 39.8°C and drowsiness 4 days later.
After she was hospitalized, CT scan was done (image a-c). After treatment with piperacillin and tazobactam, her fever improved in 7 days but she started experiencing delirium and fever again. By the 14 th day, she was drowsy. CT scan images of the 14 th day (image d-f) have also been provided. An…
