Pseudo obstruction of the colon associated with varicella- zoster infection

Walsh, T. N.; Lane, David

doi:10.1007/bf02940213

Cited by 13 publications

(12 citation statements)

References 9 publications

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“…In 2 patients, antiviral medication was prescribed after recovery from the obstruction, and in another 2, including the present patient, the obstruction occurred while that treatment was being given (17,19,22). Our patient is among the 5 (17%) who underwent surgery (7,10,20,22). Two out of 29 patients died (7%), both suffering from respiratory complications and malignancy.…”

Section: Discussionmentioning

confidence: 77%

“…The prevailing number of reports observed thoracic dermatomal distribution of the rash between T8 and T12 (69%); lumbar dermatomes (L1-L3) were affected in 10 of the patients, including ours (34%). In 2 patients (7%), the skin lesions were diffuse; in the single autopsy case from the series, herpes zoster was found to have spread to the celiac ganglia (10,18,22).…”

Section: Discussionmentioning

confidence: 95%

“…No uniform indications for operative treatment were used among the 5 patients treated surgically. The indications for a laparotomy were diverse among these reports, and included persisting obstructive symptoms, uncertain diagnosis, or pneumatosis coli (7,10,20,22). The decision for laparotomy in our patient was based on the colonoscopic diagnosis of diffuse mucosal ischemia, which was attributed to the massive distention.…”

Section: Discussionmentioning

confidence: 95%

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Ogilvie Syndrome and Herpes Zoster: Case Report and Review of the Literature

Edelman

Antaki

Basson

et al. 2010

The Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 95%

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Ogilvie Syndrome and Herpes Zoster: Case Report and Review of the Literature

Edelman

Antaki

Basson

et al. 2010

The Journal of Emergency Medicine

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“…The present case illustrates that acute colonic pseudo-obstruction (Ogilvie's syndrome) can be produced by VZV infection and that it usually occurs in immunocompromised persons (4,(9)(10)(11)(12)(13)(14)(15)(16)(17). VZV-induced Ogilvie's syndrome carries significant rates of morbidity and mortality, and its diagnosis requires a high index of suspicion because visceral symptomatology may antecede the appearance of the characteristic skin eruption (11,14).…”

Section: Case Reportmentioning

confidence: 89%

Varicella-Zoster Virus (VZV) Infection as a Possible Cause of Ogilvie's Syndrome in an Immunocompromised Host

Carrascosa¹,

Salcines-Caviedes²,

Gómez-Román

et al. 2014

J Clin Microbiol

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We describe an immunodeficient adult with Ogilvie's syndrome preceding a disseminated papulovesicular skin rash in whom varicella-zoster virus infection was demonstrated by PCR assay in cutaneous and colonic biopsy specimens. In view of the significant morbidity and mortality that this condition carries, early and accurate molecular diagnosis and timely treatment are strongly recommended. CASE REPORTA 62-year-old white man was admitted in June 2013 because of a 6-day history of severe and worsening abdominal pain and vomiting. He had been diagnosed with stage IIIA, diffuse large B-cell lymphoma in 2004, when complete remission was achieved following immunochemotherapy (rituximab, cyclophosphamide, adriamycin, vincristine, and prednisone [R-CHOP]). In 2008, he received immunochemotherapy as a salvage treatment for relapse (rituximab, etoposide, cytarabine, cisplatinum, and methylprednisolone [R-ESHAP]) and an autologous hematopoietic stem-cell transplant, reaching complete remission once more. Afterwards, the patient was given consolidation chemotherapy until October 2012, bendamustine being the last agent prescribed. A positron emission tomography scan performed in May 2013 displayed normal findings. His medical history also included diabetes mellitus and an episode of herpes zoster on the right T 12 dermatome 15 months before admission. He denied opiate, phenothiazines, or calcium channel blocker administration, chronic constipation, or recent trauma or surgical intervention. He was not on immunosuppressive therapy.On admission, the patient was afebrile and hemodynamically stable. Physical examination revealed profound abdominal distention and decreased bowel sounds but no signs of peritoneal irritation. Blood tests were significant for leucopenia and lymphopenia (2.3 ϫ 10 9 /liter leukocytes, 71.4% neutrophils, 16.8% lymphocytes), mild anemia (hemoglobin, 119 g/liter), and an accelerated erythrocyte sedimentation rate (45 mm/h). His total Tcell count and CD4 ϩ T-cell count were 0.317 ϫ 10 9 /liter and 0.012 ϫ 10 9 /liter, respectively. An abdominal computed tomography (CT) scan showed marked colonic dilatation and a possible narrowing at the rectosigmoid junction; pneumoperitoneum or ascites were absent (Fig. 1). An ensuing colonoscopy ruled out strictures and was remarkable only for a solitary sigmoidal ulcerative lesion (Fig. 2) which was subjected to a biopsy procedure (Fig. 3). Simultaneous control biopsy specimens taken from an endoscopically normal right colon revealed normal findings. An upper gastrointestinal endoscopy displayed no abnormalities. At that time, emergency, internal medicine, and surgery physicians were unable to ascertain the origin of the large bowel distension.Moreover, the patient's complaints required intravenous tramadol, paracetamol, and metamizole treatment. On the third hospital day, he developed a cutaneous, diffuse exanthematous papulovesicular rash most consistent with disseminated herpes zoster (Fig. 4)-one of these lesions was subjected to a biopsy procedure on the same day...

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“…These drugs include atropine like drugs, clonidine, tricyclic antidepressants and vincristine [23,24,25,26] . Varicella infection is associated with damage of myenteric plexus [27] . Kawasaki disease and Chaga's disease produce an abnormality of gut motility due to an inflammatory reaction in myenteric plexus [28] .…”

Section: Etiological Classificationmentioning

confidence: 99%

Colonic Pseudo-Obstruction

Zaidi¹

2012

Current Concepts in Colonic Disorders

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Pseudo obstruction of the colon associated with varicella- zoster infection

Cited by 13 publications

References 9 publications

Ogilvie Syndrome and Herpes Zoster: Case Report and Review of the Literature

Ogilvie Syndrome and Herpes Zoster: Case Report and Review of the Literature

Varicella-Zoster Virus (VZV) Infection as a Possible Cause of Ogilvie's Syndrome in an Immunocompromised Host

Colonic Pseudo-Obstruction

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