Difficulty in Diagnosing Anti-neutrophil Cytoplasmic Antibody-Related Vasculitis With Interstitial Pneumonia and in Ascertaining the Cause of Associated Hematochezia: A Case Report

The diagnosis of rheumatological diseases is challenging among older patients with multimorbidity. Rheumatological diseases in older patients show varied symptoms, such as fatigue, fever, and appetite loss. We encountered an older woman with anti-neutrophil cytoplasmic antibody (ANCA)-related vascul...

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Autores principales: Ohta, Ryuichi, Murakami, Kotaro, Tanaka, Yudai, Mishiro, Tsuyoshi, Sano, Chiaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9946153/
https://www.ncbi.nlm.nih.gov/pubmed/36843755
http://dx.doi.org/10.7759/cureus.34091
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author Ohta, Ryuichi
Murakami, Kotaro
Tanaka, Yudai
Mishiro, Tsuyoshi
Sano, Chiaki
author_facet Ohta, Ryuichi
Murakami, Kotaro
Tanaka, Yudai
Mishiro, Tsuyoshi
Sano, Chiaki
author_sort Ohta, Ryuichi
collection PubMed
description The diagnosis of rheumatological diseases is challenging among older patients with multimorbidity. Rheumatological diseases in older patients show varied symptoms, such as fatigue, fever, and appetite loss. We encountered an older woman with anti-neutrophil cytoplasmic antibody (ANCA)-related vasculitis complicated by cytomegalovirus (CMV) infection. The case was further complicated by hematochezia and was eventually diagnosed as CMV infection with adverse reactions to medications. This case highlights the difficulty of diagnosing ANCA-related vasculitis and dealing with the complications arising due to the side effects of therapy.
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spelling pubmed-99461532023-02-23 Difficulty in Diagnosing Anti-neutrophil Cytoplasmic Antibody-Related Vasculitis With Interstitial Pneumonia and in Ascertaining the Cause of Associated Hematochezia: A Case Report Ohta, Ryuichi Murakami, Kotaro Tanaka, Yudai Mishiro, Tsuyoshi Sano, Chiaki Cureus Emergency Medicine The diagnosis of rheumatological diseases is challenging among older patients with multimorbidity. Rheumatological diseases in older patients show varied symptoms, such as fatigue, fever, and appetite loss. We encountered an older woman with anti-neutrophil cytoplasmic antibody (ANCA)-related vasculitis complicated by cytomegalovirus (CMV) infection. The case was further complicated by hematochezia and was eventually diagnosed as CMV infection with adverse reactions to medications. This case highlights the difficulty of diagnosing ANCA-related vasculitis and dealing with the complications arising due to the side effects of therapy. Cureus 2023-01-23 /pmc/articles/PMC9946153/ /pubmed/36843755 http://dx.doi.org/10.7759/cureus.34091 Text en Copyright © 2023, Ohta et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Ohta, Ryuichi
Murakami, Kotaro
Tanaka, Yudai
Mishiro, Tsuyoshi
Sano, Chiaki
Difficulty in Diagnosing Anti-neutrophil Cytoplasmic Antibody-Related Vasculitis With Interstitial Pneumonia and in Ascertaining the Cause of Associated Hematochezia: A Case Report
title Difficulty in Diagnosing Anti-neutrophil Cytoplasmic Antibody-Related Vasculitis With Interstitial Pneumonia and in Ascertaining the Cause of Associated Hematochezia: A Case Report
title_full Difficulty in Diagnosing Anti-neutrophil Cytoplasmic Antibody-Related Vasculitis With Interstitial Pneumonia and in Ascertaining the Cause of Associated Hematochezia: A Case Report
title_fullStr Difficulty in Diagnosing Anti-neutrophil Cytoplasmic Antibody-Related Vasculitis With Interstitial Pneumonia and in Ascertaining the Cause of Associated Hematochezia: A Case Report
title_full_unstemmed Difficulty in Diagnosing Anti-neutrophil Cytoplasmic Antibody-Related Vasculitis With Interstitial Pneumonia and in Ascertaining the Cause of Associated Hematochezia: A Case Report
title_short Difficulty in Diagnosing Anti-neutrophil Cytoplasmic Antibody-Related Vasculitis With Interstitial Pneumonia and in Ascertaining the Cause of Associated Hematochezia: A Case Report
title_sort difficulty in diagnosing anti-neutrophil cytoplasmic antibody-related vasculitis with interstitial pneumonia and in ascertaining the cause of associated hematochezia: a case report
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9946153/
https://www.ncbi.nlm.nih.gov/pubmed/36843755
http://dx.doi.org/10.7759/cureus.34091
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