“…The factors predisposing to disseminated disease are not well understood but include cancer chemotherapy, immunosuppressive therapy, corticosteroid therapy, renal failure, and a prolonged postoperative course. 10 If host defenses and the local factors of immunocompromised patients fail to contain the primary infection, dissemination can occur. 11 The precise mechanism of this serious infection in our patient is unclear, but we assume that his immunosuppression with idarubicin, cytosine arabinoside, glucocorticoids, and subsequent neutropenia all contributed.…”