Acta Medica Okayama 73巻 3号
2019-06 発行
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
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.
fulminant type 1 diabetes mellitus
human immunodeficiency virus
cytomegalovirus
hypoglycemia