Cytomegalovirus Infection Associated with Acute Pancreatitis, Rhabdomyolysis and Renal Failure.
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概要
- 論文の詳細を見る
The occurrence of rhabdomyolysis and acute renal failure associated with cytomegaloviral infection is rare. A 27-year-old housewife was admitted to our hospital with complaints of thirst, muscle weakness, abdominal pain and oliguria. There was no past history of diabetes, drinking, fever or drug habituation and a negative family history. Laboratory tests revealed myoglobinuria, hyper-pancreatic type amylaseuria, hyperglycemia, azotemia and highly increased creatine phosphokinase in the plasma. She was treated with hemodialysis and insulin therapy. Serological studies showed a 4-fold increase in cytomegalovirus antibody titers 4 weeks after admission. Muscle biopsy specimens showed hyaline degeneration and infiltration of T cell lymphocytes in the muscle. Renal biopsy specimens showed acute tubular necrosis and some myoglobin casts. No cytomegalovirus antigen was found in renal specimens by immunofluorescence study. From these results, it was determined that a systemic cytomegalovirus infection triggered pancreatitis which caused diabetic ketoacidosis, rhabdomyolysis and acute renal failure.(Internal Medicine 31 : 426-430, 1992)
- 社団法人 日本内科学会の論文
著者
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SATO Tatsuo
Third Department of Internal Medicine Medical School, Kumamoto University.
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SATO Tatsuo
Third Department of Internal Medicine, Kumamoto University
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YASUMOTO Naruhiro
the Division of Nephrology, Department of Medicine, Yatsushiro General Hospital
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HARA Mitiaki
the Division of Nephrology, Department of Medicine, Yatsushiro General Hospital
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KITAMOTO Yasunori
Third Department of Internal Medicine, Kumamoto University
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NAKAYAMA Mahito
Third Department of Internal Medicine, Kumamoto University
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