Paralytic Ileus during Treatment of Pulmonary and Renal Tuberculosis in a Non-Human Immunodeficiency Virus Patient: An Unusual Presentation of Tuberculosis-immune Reconstitution Inflammatory Syndrome
-
- Hashiba Toyohiro
- Division of Nephrology and Endocrinology, the University of Tokyo Hospital, Japan
-
- Sugahara Mai
- Division of Nephrology and Endocrinology, the University of Tokyo Hospital, Japan
-
- Ota Yui
- Division of Nephrology and Endocrinology, the University of Tokyo Hospital, Japan
-
- Kaseda Ken
- Division of Nephrology and Endocrinology, the University of Tokyo Hospital, Japan
-
- Kashiwagi Yusuke
- Division of Nephrology and Endocrinology, the University of Tokyo Hospital, Japan
-
- Nakamura Motonobu
- Division of Nephrology and Endocrinology, the University of Tokyo Hospital, Japan
-
- Shinohara Takayuki
- Department of Infectious Diseases, the University of Tokyo Hospital, Japan
-
- Ikeda Mahoko
- Department of Infectious Diseases, the University of Tokyo Hospital, Japan
-
- Okugawa Shu
- Department of Infectious Diseases, the University of Tokyo Hospital, Japan
-
- Sugimoto Kazuma
- Department of Urology, the University of Tokyo Hospital, Japan
-
- Sasaki Kenichi
- Department of Urology, the University of Tokyo Hospital, Japan
-
- Hamasaki Yoshifumi
- Department of Hemodialysis & Apheresis, the University of Tokyo Hospital, Japan
-
- Yamada Daisuke
- Department of Urology, the University of Tokyo Hospital, Japan Department of Hemodialysis & Apheresis, the University of Tokyo Hospital, Japan
-
- Kume Haruki
- Department of Urology, the University of Tokyo Hospital, Japan
-
- Moriya Kyoji
- Department of Infectious Diseases, the University of Tokyo Hospital, Japan
-
- Nangaku Masaomi
- Division of Nephrology and Endocrinology, the University of Tokyo Hospital, Japan Department of Hemodialysis & Apheresis, the University of Tokyo Hospital, Japan
抄録
<p>Paralytic ileus as tuberculosis-immune reconstitution inflammatory syndrome (TB-IRIS) is extremely rare. We herein report a 44-year-old man with pulmonary and renal tuberculosis who developed paralytic ileus 14 days after starting antituberculosis therapy (ATT) despite an initial favorable response to ATT. Paralytic ileus was successfully managed with conservative care. He initially required hemodialysis because of obstructive uropathy due to renal tuberculosis, but he was able to withdraw from dialysis after placement of ureteral stents. TB-IRIS can affect organs other than the original sites of tuberculosis, and the combined use of steroids may be effective for its prevention and treatment. </p>
収録刊行物
-
- Internal Medicine
-
Internal Medicine 62 (17), 2559-2564, 2023-09-01
一般社団法人 日本内科学会