Successful Treatment of Multiple Small-Bowel Perforations Caused by Cytomegalovirus in a Patient with Malignant Lymphoma: Report of a Case

Nishii, Teppei; Rino, Yasushi; Ando, Koji; Matsuzu, Kenichi; Wada, Hiroo; Chiba, Akihiko; Arai, Hiromasa; Ashida, Akio; Hasuo, Kimiatsu; Inayama, Yoshiaki; Takanashi, Yoshinori

doi:10.1007/s00595-006-3274-x

Cited by 16 publications

(2 citation statements)

References 9 publications

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“…Although there are no reported cases of concurrent amebic enteritis and CMV enteritis during pregnancy, it has been reported that 32% of HIV-infected patients with CMV enteritis also have amebic colitis (18). Although CMV exists in more than half of the healthy adult population, it is usually a latent infection and manifests only in immunocompromised patients (19). However, recent studies have demonstrated active CMV infection due to compensated antiinflammatory response syndrome in non-immunosuppressed ICU patients (20).…”

Section: Discussionmentioning

confidence: 99%

Fulminant Amebic Enteritis in the Perinatal Period

et al. 2023

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Pregnancy is a known risk factor for amebic enteritis, which develops into potentially fatal fulminant amebic enteritis in some cases. We describe a case of a 27-year-old non-immunosuppressed pregnant woman with fulminant amebic enteritis complicated with cytomegalovirus enteritis. She improved with intensive care and intravenous metronidazole and ganciclovir but eventually required subtotal colectomy for intestinal stenosis. It is difficult to diagnose amebic enteritis, especially in a non-endemic area. Amebic enteritis must be considered as a differential diagnosis for refractory diarrhea with bloody stools in women in the perinatal period, even those without immunosuppression.

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Section: Discussionmentioning

confidence: 99%

Fulminant Amebic Enteritis in the Perinatal Period

et al. 2023

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“…The most common causes of colonic perforations are diverticular disease, ischaemic colitis, faecal impaction, neutropaenic enterocolitis, and opportunistic infections such as cytomegalovirus (CMV) and Candida. Perforations secondary to CMV have also been found in the ileum and jejunum among patients undergoing chemotherapy [72,73]. An erect radiograph of the abdomen shows air below the diaphragm pointing to the pneumoperitoneum.…”

Section: Perforationmentioning

confidence: 99%

Comprehensive review of oncological emergencies seen in clinical practice

Oben¹,

Fein²

2019

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Aim of the research: To provide an up-to-date review of the literature on the pathophysiology, diagnosis, and management of common oncologic emergencies encountered in clinical practice. Material and methods: We conducted a systematic computerised search in PubMed, Scopus, Web of Science, and Embase. Results: We reviewed relevant medical literature. Most common complications requiring emergency management are addressed in this review, specifically: tumour lysis syndrome, seizures and status epilepticus, pulmonary embolism, leukostasis, thrombotic microangiopathy, febrile neutropaenia, disseminated intravascular coagulation, massive haemoptysis, diffuse alveolar haemorrhage, stem cell transplant-related complications, surgically related complications of malignancy, metastatic spinal cord metastasis, and superior vena cava syndrome. Conclusions: Oncologic emergencies and related complications demand increased attention from attending physicians, oncologists, and intensivists. Knowledge of oncologic emergencies encountered in clinical practice expedites the ability of physicians to manage them properly. The identification and institution of proper management can improve outcomes in these patients. Streszczenie Cel pracy: Przegląd aktualnego piśmiennictwa na temat patofizjologii, diagnostyki i postępowania w nagłych przypadkach onkologicznych w praktyce klinicznej. Materiał i metody: Przeprowadzono systematyczne, komputerowe wyszukiwanie przypadków onkologicznych w bazach PubMed, Scopus, Web of Science i Embase. Wyniki: Dokonano przeglądu odpowiedniej literatury medycznej. W pracy omówiono najczęściej występujące powikłania wymagające pilnego leczenia, takie jak zespół rozpadu guza, napady i stan padaczkowy, zatorowość płucna, leukostaza, mikroangiopatia zakrzepowa, gorączka neutropeniczna, zespół rozsianego wykrzepiania wewnątrznaczyniowego, masywne krwioplucie, rozlane krwawienie pęcherzykowe, powikłania związane z przeszczepem komórek macierzystych, powikłania chirurgiczne związane z nowotworem, przerzuty do rdzenia kręgowego i zespół żyły głównej górnej. Wnioski: Nagłe przypadki onkologiczne oraz związane z nimi powikłania wymagają większej uwagi lekarzy prowadzących, onkologów i lekarzy intensywnej terapii. Znajomość nagłych przypadków onkologicznych spotykanych w praktyce klinicznej pozwala na sprawne ich leczenie. Ustalenie oraz wdrożenie właściwego postępowania umożliwia poprawę wyników leczenia tych chorych.

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Small intestinal perforation caused by cytomegalovirus reactivation after subtotal colectomy for ulcerative colitis: report of a case

Fujikawa

Araki

Shimura

et al. 2013

Clin J Gastroenterol

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A 79-year-old woman with bloody diarrhea was diagnosed with ulcerative colitis. She developed intestinal perforation after high-dose steroid therapy. An emergency laparotomy revealed a perforation in the ascending colon, and a subtotal colectomy was performed with an ileostomy and a mucous fistula in the sigmoid colon. Histological findings of the resected colon showed the presence of cytomegalovirus in the endothelial cells of vessels around the ulcer floor. Twelve days after the laparotomy, she developed an ileal perforation with a bloody discharge from the ileostomy and underwent an emergency laparotomy. Multiple intestinal perforations were found in the ileum, and the perforated ileum was resected. Cytomegalovirus infection was controlled with ganciclovir postoperatively. Histological findings of the resected ileum showed the presence of cytomegalovirus in the endothelial cells of vessels around the ulcer floor. This is the first report of ileal perforation due to cytomegalovirus infection confirmed pathologically in a patient with ulcerative colitis.

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Successful Treatment of Multiple Small-Bowel Perforations Caused by Cytomegalovirus in a Patient with Malignant Lymphoma: Report of a Case

Cited by 16 publications

References 9 publications

Fulminant Amebic Enteritis in the Perinatal Period

Fulminant Amebic Enteritis in the Perinatal Period

Comprehensive review of oncological emergencies seen in clinical practice

Small intestinal perforation caused by cytomegalovirus reactivation after subtotal colectomy for ulcerative colitis: report of a case

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