title: [Disseminated varicella-zoster virus infection complicated with severe abdominal pain and colonic pseudo-obstruction].
abstract: A 48-year-old man was admitted to our hospital complaining of acute severe abdominal pain and constipation. He had received bone marrow transplantation for acute myelogenous leukemia 5 months previously and immunosuppressant treatment for chronic graft-versus-host disease. Abdominal X-ray and CT scan films revealed his large intestine widely dilated and filled with air, and colonic pseudo-obstruction was diagnosed. It was difficult to ascertain the cause of the symptoms until 6 days after onset of the abdominal pain when disseminated zoster eruption appeared over his whole body. It was disseminated varicella-zoster and complicated with colonic pseudo-obstruction. He was treated with acyclovir. It is important to suspect disseminated varicella-zoster and treat early immunocompromised patients complaining of severe acute abdominal pain and colonic pseudo-obstruction.
authors: Department of Gastroenterology, Machida Municipal Hospital, Japan. e.tanida@machida-city-hp.jp
authors: Emiko
authors: E
authors: Tanida
authors: Motoyoshi
authors: M
authors: Izumi
authors: Tsuyoshi
authors: T
authors: Abe
authors: Izumi
authors: I
authors: Tsuchiya
authors: Kanji
authors: K
authors: Okuma
authors: Eri
authors: E
authors: Uchida
authors: Akihisa
authors: A
authors: Hidaka
authors: Eri
authors: E
authors: Hayashi
authors: Masaaki
authors: M
authors: Noguchi
authors: Yoshifumi
authors: Y
authors: Masui
authors: Kai
authors: K
authors: Yoshizawa
authors: Keigo
authors: K
authors: Shirahama
authors: Akira
authors: A
authors: Kanezaki
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D003112:Colonic Pseudo-Obstruction / Q000209:etiology*; D006562:Herpes Zoster / Q000150:complications*; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D008875:Middle Aged