Tanida Emiko, Izumi Motoyoshi, Abe Tsuyoshi, Tsuchiya Izumi, Okuma Kanji, Uchida Eri, Hidaka Akihisa, Hayashi Eri, Noguchi Masaaki, Masui Yoshifumi, Yoshizawa Kai, Shirahama Keigo, Kanezaki Akira
Department of Gastroenterology, Machida Municipal Hospital, Japan.
Nihon Shokakibyo Gakkai Zasshi. 2013 May;110(5):839-45.
A 48-year-old man was admitted to our hospital complaining of acute severe abdominal pain and constipation. He had received bone marrow transplantation for acute myelogenous leukemia 5 months previously and immunosuppressant treatment for chronic graft-versus-host disease. Abdominal X-ray and CT scan films revealed his large intestine widely dilated and filled with air, and colonic pseudo-obstruction was diagnosed. It was difficult to ascertain the cause of the symptoms until 6 days after onset of the abdominal pain when disseminated zoster eruption appeared over his whole body. It was disseminated varicella-zoster and complicated with colonic pseudo-obstruction. He was treated with acyclovir. It is important to suspect disseminated varicella-zoster and treat early immunocompromised patients complaining of severe acute abdominal pain and colonic pseudo-obstruction.
一名48岁男性因急性剧烈腹痛和便秘入院。他5个月前因急性髓性白血病接受了骨髓移植，并因慢性移植物抗宿主病接受了免疫抑制治疗。腹部X线和CT扫描片显示他的大肠广泛扩张并充满气体，诊断为结肠假性梗阻。直到腹痛发作6天后全身出现播散性带状疱疹皮疹，才难以确定症状的原因。这是播散性水痘-带状疱疹，并伴有结肠假性梗阻。他接受了阿昔洛韦治疗。对于出现严重急性腹痛和结肠假性梗阻的免疫功能低下患者，怀疑播散性水痘-带状疱疹并尽早治疗很重要。
