A case of idiopathic portal hypertension complicated with sepsis caused by Aeromonas hydrophila

Eiichirou Arimura, Makoto Nakamuta, Kazuhiro Kotoh, Shusuke Morizono, Motoyuki Kohjima, Marie Fukushima, Munechika Enjoji, Hajime Nawata

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A 53 year old man with idiopathic portal hypertension (IPH) was admitted because of high fever and diarrhea. Nineteen years before admission, he had received splenic hilar renal shunt operation with proximal flush ligation of splenic vein due to gastric varices. Three months before admission, he had been admitted to our hospital for evaluation of liver dysfunction. Liver biopsy examination had revealed peri-portal fibrosis consistent with IPH. Aeromonas hydrophila was isolated from blood. Although he was treated with antibiotics plus dopamine, glucose-insulin therapy, and mechanical ventilation, he had severe septic shock, and died 29 days after admission. We have to take notice of A. hydrophila infection in cases of portosystemic shunt because they fall in severe septic shock.

Original languageEnglish
Pages (from-to)259-264
Number of pages6
JournalFukuoka igaku zasshi = Hukuoka acta medica
Volume96
Issue number6
Publication statusPublished - Jan 1 2005

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Aeromonas hydrophila
Septic Shock
Sepsis
Splenic Vein
Surgical Portasystemic Shunt
Esophageal and Gastric Varices
Artificial Respiration
Ligation
Liver Diseases
Diarrhea
Dopamine
Fibrosis
Fever
Insulin
Anti-Bacterial Agents
Kidney
Biopsy
Glucose
Liver
Infection

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Arimura, E., Nakamuta, M., Kotoh, K., Morizono, S., Kohjima, M., Fukushima, M., ... Nawata, H. (2005). A case of idiopathic portal hypertension complicated with sepsis caused by Aeromonas hydrophila. Fukuoka igaku zasshi = Hukuoka acta medica, 96(6), 259-264.

A case of idiopathic portal hypertension complicated with sepsis caused by Aeromonas hydrophila. / Arimura, Eiichirou; Nakamuta, Makoto; Kotoh, Kazuhiro; Morizono, Shusuke; Kohjima, Motoyuki; Fukushima, Marie; Enjoji, Munechika; Nawata, Hajime.

In: Fukuoka igaku zasshi = Hukuoka acta medica, Vol. 96, No. 6, 01.01.2005, p. 259-264.

Research output: Contribution to journalArticle

Arimura, E, Nakamuta, M, Kotoh, K, Morizono, S, Kohjima, M, Fukushima, M, Enjoji, M & Nawata, H 2005, 'A case of idiopathic portal hypertension complicated with sepsis caused by Aeromonas hydrophila', Fukuoka igaku zasshi = Hukuoka acta medica, vol. 96, no. 6, pp. 259-264.
Arimura, Eiichirou ; Nakamuta, Makoto ; Kotoh, Kazuhiro ; Morizono, Shusuke ; Kohjima, Motoyuki ; Fukushima, Marie ; Enjoji, Munechika ; Nawata, Hajime. / A case of idiopathic portal hypertension complicated with sepsis caused by Aeromonas hydrophila. In: Fukuoka igaku zasshi = Hukuoka acta medica. 2005 ; Vol. 96, No. 6. pp. 259-264.
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