Herpes zoster infection and Ogilvie's syndrome in non-Hodgkin's lymphoma with hypogammaglobulinemia.
The case of a 43-year-old male with non-Hodgkin's lymphoma (stage IV B), and hypo-IgG and IgM, who developed acute colonic pseudo-obstruction or Ogilvie's syndrome during chemotherapy, is presented. The simultaneous occurrence of a unilateral segmental vesicular rash indicative of herpes zoster infection suggests an etiopathogenetic relationship between the colonic pseudo-obstruction and herpetic involvement of the motor celiac sympathetic ganglia. The rapid resolution of the abdominal dilation and the functional recovery from the colonic pseudo-obstruction after anti-viral therapy is also consistent with the diagnostic hypothesis.
Giunta
R
R
VI Division di Medicina Interna ed Immunoallergologia, Dipartimento di Gerontologia, Geriatria e Malattie del Metabolismo, Seconda Università degli Studi di Napoli.
Marfella
M A
MA
Maffei
A
A
Lucivero
G
G
D000328:Adult; D000361:Agammaglobulinemia / Q000150:complications*; D003112:Colonic Pseudo-Obstruction / Q000150:complications*; D006562:Herpes Zoster / Q000150:complications*; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000150:complications*; D008297:Male