An Autopsy Case of Disseminated Cryptococcosis Manifesting as Acute Diarrhea in a Patient with Primary Biliary Cirrhosis

• Hokari Satoshi

  Division of Respiratory Medicine, Department of Homeostatic Regulation and Development, Niigata University Graduate School of Medical and Dental Sciences

• Tsukada Hiroki

  Department of Respiratory Medicine, Niigata City General Hospital

• Ito Kazuhisa

  Department of Respiratory, Kido Hospital

• Shibuya Hiroyuki

  Department of Pathology, Niigata City General Hospital

抄録

A 58-year-old woman with an 18-year history of primary biliary cirrhosis was admitted because of pneumococcal pneumonia. She was treated with antibiotics and mechanical ventilation. After the pneumonia improved, she developed severe watery diarrhea. Although vancomycin was administered enterally, the diarrhea persisted. She died of multiple organ failure within 16 days of the onset of diarrhea. An autopsy showed intracapillary cryptococci in the systemic organs, especially in the intestinal tract. The cause of diarrhea was considered to be extensive intestinal mucosal necrosis due to disseminated cryptococcosis. This is a rare case of cryptococcal infection manifesting as acute diarrhea.<br>

収録刊行物

• Internal Medicine

  Internal Medicine 49 (16), 1793-1796, 2010

  一般社団法人 日本内科学会

キーワード

• disseminated cryptococcosis
• gastrointestinal cryptococcosis
• acute diarrhea
• intracapillary cryptococci
• primary biliary cirrhosis

詳細情報

• CRID: 1390001204870553472
• NII論文ID: 130000299645
• DOI: 10.2169/internalmedicine.49.3785
• ISSN: 13497235
• ISSN: 09182918
• Web Site: http://www.jstage.jst.go.jp/article/internalmedicine/49/16/49_16_1793/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2011066490
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可