Cytomegalovirus Colitis Followed by Colonic Pseudolipomatosis and Gastric Emphysema in a Post-resuscitation Patient

A 64-year-old Japanese man suffered cardiopulmonary arrest, which may have resulted from sepsis and/or hyperosmolar hyperglycemic non-ketonic coma, and was admitted after successful resuscitation. He had watery diarrhea on day 18 and was diagnosed with cytomegalovirus enterocolitis. In addition, com...

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Autores principales: Iwamuro, Masaya, Tanaka, Takehiro, Yamauchi, Nao, Nakashima, Yuri, Wada, Takahira, Hiraoka, Sakiko, Kawahara, Yoshiro, Okada, Hiroyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7056364/
https://www.ncbi.nlm.nih.gov/pubmed/31645533
http://dx.doi.org/10.2169/internalmedicine.3633-19
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author Iwamuro, Masaya
Tanaka, Takehiro
Yamauchi, Nao
Nakashima, Yuri
Wada, Takahira
Hiraoka, Sakiko
Kawahara, Yoshiro
Okada, Hiroyuki
author_facet Iwamuro, Masaya
Tanaka, Takehiro
Yamauchi, Nao
Nakashima, Yuri
Wada, Takahira
Hiraoka, Sakiko
Kawahara, Yoshiro
Okada, Hiroyuki
author_sort Iwamuro, Masaya
collection PubMed
description A 64-year-old Japanese man suffered cardiopulmonary arrest, which may have resulted from sepsis and/or hyperosmolar hyperglycemic non-ketonic coma, and was admitted after successful resuscitation. He had watery diarrhea on day 18 and was diagnosed with cytomegalovirus enterocolitis. In addition, computed tomography performed on day 27 and colonoscopy revealed gastric emphysema and intestinal pseudolipomatosis, respectively. This report is the first to describe a patient with cytomegalovirus enterocolitis and subsequent gastric emphysema and pseudolipomatosis. Gastrointestinal cytomegalovirus infection may underlie gastric emphysema and intestinal pseudolipomatosis, particularly in patients with relative or obvious immune dysfunction.
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spelling pubmed-70563642020-03-05 Cytomegalovirus Colitis Followed by Colonic Pseudolipomatosis and Gastric Emphysema in a Post-resuscitation Patient Iwamuro, Masaya Tanaka, Takehiro Yamauchi, Nao Nakashima, Yuri Wada, Takahira Hiraoka, Sakiko Kawahara, Yoshiro Okada, Hiroyuki Intern Med Case Report A 64-year-old Japanese man suffered cardiopulmonary arrest, which may have resulted from sepsis and/or hyperosmolar hyperglycemic non-ketonic coma, and was admitted after successful resuscitation. He had watery diarrhea on day 18 and was diagnosed with cytomegalovirus enterocolitis. In addition, computed tomography performed on day 27 and colonoscopy revealed gastric emphysema and intestinal pseudolipomatosis, respectively. This report is the first to describe a patient with cytomegalovirus enterocolitis and subsequent gastric emphysema and pseudolipomatosis. Gastrointestinal cytomegalovirus infection may underlie gastric emphysema and intestinal pseudolipomatosis, particularly in patients with relative or obvious immune dysfunction. The Japanese Society of Internal Medicine 2019-10-24 2020-02-15 /pmc/articles/PMC7056364/ /pubmed/31645533 http://dx.doi.org/10.2169/internalmedicine.3633-19 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Iwamuro, Masaya
Tanaka, Takehiro
Yamauchi, Nao
Nakashima, Yuri
Wada, Takahira
Hiraoka, Sakiko
Kawahara, Yoshiro
Okada, Hiroyuki
Cytomegalovirus Colitis Followed by Colonic Pseudolipomatosis and Gastric Emphysema in a Post-resuscitation Patient
title Cytomegalovirus Colitis Followed by Colonic Pseudolipomatosis and Gastric Emphysema in a Post-resuscitation Patient
title_full Cytomegalovirus Colitis Followed by Colonic Pseudolipomatosis and Gastric Emphysema in a Post-resuscitation Patient
title_fullStr Cytomegalovirus Colitis Followed by Colonic Pseudolipomatosis and Gastric Emphysema in a Post-resuscitation Patient
title_full_unstemmed Cytomegalovirus Colitis Followed by Colonic Pseudolipomatosis and Gastric Emphysema in a Post-resuscitation Patient
title_short Cytomegalovirus Colitis Followed by Colonic Pseudolipomatosis and Gastric Emphysema in a Post-resuscitation Patient
title_sort cytomegalovirus colitis followed by colonic pseudolipomatosis and gastric emphysema in a post-resuscitation patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7056364/
https://www.ncbi.nlm.nih.gov/pubmed/31645533
http://dx.doi.org/10.2169/internalmedicine.3633-19
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