Cytomegalovirus colitis followed by colonic pseudolipomatosis and gastric emphysema in a Post-resuscitation Patient

Masaya Iwamuro, Takehiro Tanaka, Nao Yamauchi, Yuri Nakashima, Takahira Wada, Sakiko Hiraoka, Yoshiro Kawahara, Hiroyuki Okada

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)519-525
Number of pages7
JournalInternal Medicine
Volume59
Issue number4
DOIs
Publication statusPublished - Feb 15 2020

Keywords

  • Cytomegalovirus colitis
  • Diabetes mellitus
  • Gastric emphysema
  • Post-resuscitation
  • Pseudolipomatosis

ASJC Scopus subject areas

  • Internal Medicine

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