Influence of Febrile Neutropenia Period on Plasma Viscosity at Malignancy

Cancer, chemotherapy, and infections all together make changes in blood rheology and may affect the defense mechanisms by changing the thrombocyte function and endothelial cell. We have examined changes of blood rheology on plasma viscosity to put on probable following criteria for starting the trea...

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Main Authors: Ibrahim Tek, Selami Kocak Toprak, Efe Hasdemir, Samed Rahatli, Aysegül Yesilkaya
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2013/507270
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author Ibrahim Tek
Selami Kocak Toprak
Efe Hasdemir
Samed Rahatli
Aysegül Yesilkaya
author_facet Ibrahim Tek
Selami Kocak Toprak
Efe Hasdemir
Samed Rahatli
Aysegül Yesilkaya
author_sort Ibrahim Tek
collection DOAJ
description Cancer, chemotherapy, and infections all together make changes in blood rheology and may affect the defense mechanisms by changing the thrombocyte function and endothelial cell. We have examined changes of blood rheology on plasma viscosity to put on probable following criteria for starting the treatment of febrile neutropenia immediately. A total of 27 postchemotherapy patients (16 males and 11 females) with febrile neutropenia diagnosed according to international guidelines have been included into the study. The plasma viscosity of the patients whose febrile neutropenia has been successfully treated was also measured to assess the impact of the duration of neutropenia on viscosity. The plasma viscosities of the patients were significantly higher during neutropenic episode than in nonneutropenic state () except for alkaline phosphatase. All study parameters, particularly acute phase reactants, were statistically similar during both states. In the correlation of analysis with study parameters and stages, significant correlation was not observed between plasma viscosity alteration and leukocyte-neutrophil alteration, also other study parameters. We have demonstrated significantly elevated plasma viscosity in our patients during febrile neutropenic episode. Despite normal values of various parameters known to trigger plasma viscosity, particularly fibrinogen, it can be easily argued that the main mechanism may be the endothelial injury during infectious process and immune response mediated microcirculatory blood flow alterations.
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spelling doaj-art-a96f559db4ab4e45aec9fd92169145a22025-02-03T05:51:18ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/507270507270Influence of Febrile Neutropenia Period on Plasma Viscosity at MalignancyIbrahim Tek0Selami Kocak Toprak1Efe Hasdemir2Samed Rahatli3Aysegül Yesilkaya4Department of Medical Oncology, Medicana International Hospital Cancer Center, 06520 Ankara, TurkeyDepartment of Hematology, Baskent University School of Medicine, 06490 Ankara, TurkeyDepartment of Hematology, Baskent University School of Medicine, 06490 Ankara, TurkeyDepartment of Medical Oncology, Baskent University School of Medicine, 06490 Ankara, TurkeyDepartment of Infectious Diseases and Clinical Microbiology, Baskent University School of Medicine, 06490 Ankara, TurkeyCancer, chemotherapy, and infections all together make changes in blood rheology and may affect the defense mechanisms by changing the thrombocyte function and endothelial cell. We have examined changes of blood rheology on plasma viscosity to put on probable following criteria for starting the treatment of febrile neutropenia immediately. A total of 27 postchemotherapy patients (16 males and 11 females) with febrile neutropenia diagnosed according to international guidelines have been included into the study. The plasma viscosity of the patients whose febrile neutropenia has been successfully treated was also measured to assess the impact of the duration of neutropenia on viscosity. The plasma viscosities of the patients were significantly higher during neutropenic episode than in nonneutropenic state () except for alkaline phosphatase. All study parameters, particularly acute phase reactants, were statistically similar during both states. In the correlation of analysis with study parameters and stages, significant correlation was not observed between plasma viscosity alteration and leukocyte-neutrophil alteration, also other study parameters. We have demonstrated significantly elevated plasma viscosity in our patients during febrile neutropenic episode. Despite normal values of various parameters known to trigger plasma viscosity, particularly fibrinogen, it can be easily argued that the main mechanism may be the endothelial injury during infectious process and immune response mediated microcirculatory blood flow alterations.http://dx.doi.org/10.1155/2013/507270
spellingShingle Ibrahim Tek
Selami Kocak Toprak
Efe Hasdemir
Samed Rahatli
Aysegül Yesilkaya
Influence of Febrile Neutropenia Period on Plasma Viscosity at Malignancy
The Scientific World Journal
title Influence of Febrile Neutropenia Period on Plasma Viscosity at Malignancy
title_full Influence of Febrile Neutropenia Period on Plasma Viscosity at Malignancy
title_fullStr Influence of Febrile Neutropenia Period on Plasma Viscosity at Malignancy
title_full_unstemmed Influence of Febrile Neutropenia Period on Plasma Viscosity at Malignancy
title_short Influence of Febrile Neutropenia Period on Plasma Viscosity at Malignancy
title_sort influence of febrile neutropenia period on plasma viscosity at malignancy
url http://dx.doi.org/10.1155/2013/507270
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AT selamikocaktoprak influenceoffebrileneutropeniaperiodonplasmaviscosityatmalignancy
AT efehasdemir influenceoffebrileneutropeniaperiodonplasmaviscosityatmalignancy
AT samedrahatli influenceoffebrileneutropeniaperiodonplasmaviscosityatmalignancy
AT aysegulyesilkaya influenceoffebrileneutropeniaperiodonplasmaviscosityatmalignancy