Acta Medica Okayama 73巻 3号
2019-06 発行

Sudden, Sharp Turn in an AIDS Patient’s Course Following the Onset of Fulminant Type 1 Diabetes

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
Publication Date
2019-06
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.
Document Type
Case Report
Keywords
fulminant type 1 diabetes mellitus
human immunodeficiency virus
cytomegalovirus
hypoglycemia
Link to PubMed
Thumnail 73_3_263.pdf 2.51 MB