ID 56870
JaLCDOI
FullText URL
Thumnail 73_3_263.pdf 2.51 MB
Author
Shimoyama, Yuichiro Department of Intensive Care Unit, Osaka Medical College Hospital
Umegaki, Osamu Department of Intensive Care Unit, Osaka Medical College Hospital
Ooi, Yukimasa Department of Internal Medicine, Osaka Medical College Hospital
Shigemoto, Sho Department of Internal Medicine, Osaka Medical College Hospital
Agui, Tomoyuki Department of Surgery, Osaka Medical College Hospital
Kadono, Noriko Department of Intensive Care Unit, Osaka Medical College Hospital
Minami, Toshiaki Department ofAnesthesiology, Osaka Medical College Hospital
Abstract
A previously healthy 40-year-old Japanese male was urgently admitted with a 2-month history of dysphagia, 30-kg weight loss, and fever. Human immunodeficiency virus (HIV) antibodies and cytomegalovirus antigenemia were positive. Pneumocystis pneumonia and cytomegalovirus pneumonia were suspected. The patient was diagnosed with acquired immune deficiency syndrome (AIDS). Cytomegalovirus antigenemia became negative 20 days after the positive result. On hospital day 41, he experienced cardiopulmonary arrest. The clinical diagnosis was fulminant type 1 diabetes mellitus. He later developed hypoglycemia and was diagnosed with adrenal insufficiency accompanied by septic shock. He died of multiple organ failure 29 h post-admission to our ICU.
Keywords
fulminant type 1 diabetes mellitus
human immunodeficiency virus
cytomegalovirus
hypoglycemia
Amo Type
Case Report
Published Date
2019-06
Publication Title
Acta Medica Okayama
Volume
volume73
Issue
issue3
Publisher
Okayama University Medical School
Start Page
263
End Page
267
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
Copyright Holders
CopyrightⒸ 2019 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID