[Gastrointestinal symptoms revealing COVID-19 in Malian breast cancer patient undergoing chemotherapy]

Bull Cancer. 2020 Oct;107(10):1019-1023. doi: 10.1016/j.bulcan.2020.07.006. Epub 2020 Sep 21.
[Article in French]

Abstract

In this review, we report a case of a bone's metastatic breast cancer in Malian patient treated by chemotherapy in whom SRAS-COV-2's diagnosis was made 9days after the onset gastrointestinal symptoms. Patient quickly died before any COVID-19's treatment. According to the poor outcomes of cancer patients with COVID-19, authors emphasize to an intensive attention to such patients in order to find the best therapeutic balance between the two pathologies during this pandemic.

Les auteurs rapportent le cas d’une patiente malienne suivie pour cancer du sein métastatique au niveau osseux sous chimiothérapie chez qui le diagnostic de la COVID-19 a été posé 9 jours après le début des troubles digestifs avec survenue du décès de la patiente avant toute prise en charge de cette virose. Face au mauvais pronostic des patients atteints de cancer et de COVID-19, les auteurs insistent auprès des cliniciens sur la nécessité d’une attention particulière devant de telles associations morbides afin de trouver l’équilibre thérapeutique entre ces deux pathologies.

Keywords: COVID-19; Cancer; Chemotherapy; Chimiothérapie; Gastrointestinal symptoms; Immunodépression; Immunosuppression; Troubles digestifs.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Antineoplastic Agents, Phytogenic / therapeutic use
  • Betacoronavirus*
  • Bone Density Conservation Agents / therapeutic use
  • Breast Neoplasms / complications*
  • Breast Neoplasms / drug therapy
  • COVID-19
  • Carcinoma, Ductal, Breast / complications
  • Carcinoma, Ductal, Breast / drug therapy
  • Carcinoma, Ductal, Breast / secondary*
  • Coronavirus Infections / complications*
  • Diarrhea / etiology*
  • Docetaxel / therapeutic use
  • Fatal Outcome
  • Female
  • HIV Infections / complications
  • Humans
  • Liver Neoplasms / complications
  • Liver Neoplasms / diagnostic imaging
  • Liver Neoplasms / drug therapy
  • Liver Neoplasms / secondary
  • Pandemics*
  • Pneumonia, Viral / complications*
  • SARS-CoV-2
  • Spinal Neoplasms / complications
  • Spinal Neoplasms / diagnostic imaging
  • Spinal Neoplasms / drug therapy
  • Spinal Neoplasms / secondary*
  • Tomography, X-Ray Computed
  • Vomiting / etiology*
  • Zoledronic Acid / therapeutic use

Substances

  • Antineoplastic Agents, Phytogenic
  • Bone Density Conservation Agents
  • Docetaxel
  • Zoledronic Acid