‘It has been a long few days’: Jonathan Pitre on medical roller-coaster – Canoe

By daniellenierenberg

Andrew Duffy, Postmedia Network May 23, 2017

, Last Updated: 5:01 PM ET

Jonathan Pitre has been on a medical roller-coaster in the week since blood tests revealed that his stem cell transplant has taken root in his bone marrow.

While his white blood cell count has soared its now well within the normal range he has also suffered a series of complications that have severely tested his physical endurance.

It has been a long few days, said his mother, Tina Boileau. Hes been through hell.

Pitre, 16, is battling liver, kidney and gastrointestinal problems.

He has been diagnosed with typhlitis, a serious inflammation in part of his large intestine, that brings with it risk of a bowel perforation. He has undergone a series of x-rays and ultrasounds to check for perforations, all of which have come back negative.

At the same time, Pitre is fighting a liver infection that has caused his fever to spike, and his skin to yellow. His blood pressure has fluctuated, and his kidneys are struggling to process all of the fluids and medications that have been been pumped into his body. He hasnt been allowed to eat or drink for days to protect his damaged gastrointestinal system.

Pitre will undergo surgery Wednesday to have another central line installed so that he can be fed intravenously rather than through his existing g-tube, which sends nutrition directly to his stomach.

All of the complications have made it difficult to deliver enough medication to control Pitres pain levels, his mother said.

Its got to get better, she said.

Boileau is placing her faith in her sons new immune system, which has been rebuilt with the help of her donated stem cells. His white blood cell count is at 6.7 which is amazing, she said. And hopefully, that helps him fight everything hes going through.

A normal white blood cell count ranges from 4.0 to 11.

Pitre found out last Tuesday that the white blood cells in his system were all donor cells, which signalled that his transplant had successfully engrafted in his bone marrow. Bone marrow stem cells produce most of the bodys blood, including the white blood cells that are responsible for fighting bacteria, viruses and other pathogens.

Pitres lead physician, Dr. Jakub Tolar, said last week that the Russell teenager remains extremely fragile and susceptible to all kinds of complications. But Tolar also said the success of the transplant has established the pre-condition for his recovery.

It has now been 40 days since Pitre was infused with stem cells drawn from his mothers hip bone at the University of Minnesota Masonic Childrens Hospital.

In the next three months, doctors will be on the lookout for signs of acute graft-versus-host-disease (GVHD), a complication in which the donors white blood cells turn on the patients tissues and attack them as foreign. Last week, Pitre showed signs of a rash which can sometimes be a telltale sign of the disease, but a skin biopsy showed that the problem was not related to GVHD.

Anyone who receives stem cells from another person is at risk of developing the condition, which can range from mild to life-threatening. It commonly affects the skin, liver or gastrointestinal tract.

Pitre suffers from a severe form of epidermolysis bullosa (EB), a painful and progressive skin disease that has inflicted deep, open wounds on his body.