Fatal Diarrheal Disease Caused by Vibrio cholerae O67 in a Patient with Myelodysplastic Syndrome
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概要
- 論文の詳細を見る
A 71-year-old man with myelodysplastic syndrome (MDS) receiving treatment with azacitidine developed extensive watery diarrhea for three consecutive days. As a result of high-grade dehydration, the patient was urgently admitted to the hospital and fluid replacement therapy was initiated. However, the patient's diarrhea did not improve. Vibrio cholerae non-O1/non-O139 was detected in a fecal culture. On the fourth day, the patient died due to circulatory collapse. An autopsy revealed extensive necrosis of the intestinal mucosa. Vibrio cholerae non-O1/non-O139-induced diarrheal disease often develops in patients with hepatic cirrhosis and has a serious clinical course. We herein report a fatal outcome of Vibrio cholerae O67 infection in an immunocompromised MDS patient.
- 社団法人 日本内科学会の論文
著者
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Arakawa Eiji
Department Of Bacteriology National Institute Of Infectious Diseases
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Tamura Shinobu
Department of Internal medicine II, Tokyo Medical University
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Nakano Yoshio
Department Of Chemical Engineering Faculty Of Engineering Shizuoka University
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Fukuchi Takahiko
Department of Internal Medicine, Minami Wakayama Medical Center, Japan
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Taniguchi Fumitaka
Department of Internal Medicine, Social Insurance Kinan Hospital, Japan
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Nakamoto Chiaki
Department of Nursing, Social Insurance Kinan Hospital, Japan
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Nakamoto Hiromichi
Department of Central Clinical Laboratory, Social Insurance Kinan Hospital, Japan
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Fujimoto Tokuzo
Department of Internal Medicine, Social Insurance Kinan Hospital, Japan
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