帯状疱疹が原因と考えられた高齢者の麻痺性イレウスの1例  [in Japanese] A case of paralytic ileus associated with varicella zoster virus infection  [in Japanese]

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Abstract

79歳女性.腹部膨満感を主訴に来院し,腹部X線でイレウスと診断した.左Th8-10領域に小水疱をともなう皮疹がみられ,血液検査で水痘・帯状疱疹ウイルス(VZV)抗体価上昇を認め,VZVによる麻痺性イレウスと診断した.保存的加療を行いイレウスは改善した.帯状疱疹は日常よく遭遇する疾患であるが,まれながらイレウスの原因となりうることを今後念頭に置くべきと考え報告する.<br>

A 79-year-old woman with a history of pyothorax was admitted with a 4-day history of abdominal distension. Physical examination revealed marked abdominal distention, absent bowel sounds, and a vesicular rash over the left Th8-10 dermatome. Abdominal radiography showed gaseous distension of the colon and ileum. Colonoscopy excluded any obstructive process of the colon. Laboratory findings yielded positive results for serum IgM and IgG against the varicella zoster virus (VZV) . Paralytic ileus associated with the VZV was therefore diagnosed. The ileus improved after conservative treatment with intravenous acyclovir. Although shingles is frequently encountered, it is a rare cause of paralytic ileus. In the future, the VZV should be considered as one of the causes of paralytic ileus, and complete resolution can be achieved with conservative management.<br>

Journal

  • Nippon Shokakibyo Gakkai Zasshi

    Nippon Shokakibyo Gakkai Zasshi 110(6), 1007-1013, 2013-06-05

    The Japanese Society of Gastroenterology

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