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K. pneumoniae liver abscess following deferoxamine subcutaneous self‐injection

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Dipartimento di Medicina Interna e Specializzazioni Mediche, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milano, Italy; Dipartimenti di Scienze Cliniche e di Comunit a, Universit a degli Studi di Milano
Abstract
Dipartimento di Medicina Interna e Specializzazioni Mediche, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milano, Italy; Dipartimento di Scienze Cliniche e di Comunit a, Universit a degli Studi di Milano, Milano, Italy; Centro Anemie Congenite, Dipartimento di Medicina Interna e Specializzazioni Mediche, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milano, Italy; Dipartimento di Radiologia, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milano, Italy Correspondence Ludovico Furlan, Dipartimento di Medicina Interna e Specializzazioni Mediche, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122 Milano, Italy. Email: ludovico.furlan@unimi.it

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References
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Journal ArticleDOI

Mucormycosis during deferoxamine therapy is a siderophore-mediated infection. In vitro and in vivo animal studies.

TL;DR: Pharmacokinetic changes in uremia lead to a prolonged accumulation of Fe.DFO after DFO administration, which helps explain the increased sensitivity of dialysis patients to DFO-related mucormycosis.
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Infection Due to Yersinia enterocolitica in a Series of Patients with α-Thalassemia: Incidence and Predisposing Factors

TL;DR: Iron-loaded patients with beta-thalassemia are at greatly increased risk for severe yersiniosis, even when their body iron burden is only moderately elevated and they are not receiving iron-chelating therapy with deferoxamine.
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Effects of Chelators (Deferoxamine, Deferiprone and Deferasirox) on the Growth of Klebsiella Pneumoniae and Aeromonas Hydrophila Isolated from Transfusion-Dependent Thalassemia Patients

TL;DR: It is suggested that factors other than DFO may account for the increased prevalence of Klebsiella and Aeromonas infection in Asian thalassemic patients.
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Yersinia infections in patients with homozygous beta-thalassemia associated with iron overload and its treatment.

TL;DR: Recognition of this association and unusual manifestations in these patients such as an appendicitis-like syndrome may direct clinicians to earlier antiyersinial therapy and temporary cessation of chelation.