Cytomegalovirus (CMV) is the most common cause of life-threatening opportunistic viral infection in patients with acquired immunodeficiency syndrome (AIDS). However, CMV infection may occur in the immunocompetent individuals. CMV colitis has not been reported in a patient with splenectomy in Korea. Recently, we experienced a case of fatal CMV colitis in a patient with splenectomy. A 69-year-old man complained of bloody mucoid diarrhea and abdominal pain for 2 months. He had the splenectomy 6 months ago. CMV colitis was diagnosed by colonoscopy and pathologic examination. He died of sepsis in spite of antiviral ganciclovir therapy.
Abdominal Pain ; Acquired Immunodeficiency Syndrome ; Aged ; Colitis* ; Colonoscopy ; Cytomegalovirus* ; Diarrhea ; Ganciclovir ; Humans ; Korea ; Sepsis ; Splenectomy*

Syncope is sudden transient loss of consciousness and postural tone with spontaneous recovery. A 74-year-old man presented with multiple, recurrent episodes of syncope associated with swallowing beverages. Sinus pause and 2:1 atrioventricular block were induced by swallowing carbonated beverages. He was treated with permanent cardiac pacing for the prevention of syncope. Swallow syncope did not recur for one year after implantation of a cardiac pacemaker.
Aged ; Atrioventricular Block ; Beverages ; Carbonated Beverages ; Deglutition ; Humans ; Syncope* ; Unconsciousness

Syncope is sudden transient loss of consciousness and postural tone with spontaneous recovery. A 74-year-old man presented with multiple, recurrent episodes of syncope associated with swallowing beverages. Sinus pause and 2:1 atrioventricular block were induced by swallowing carbonated beverages. He was treated with permanent cardiac pacing for the prevention of syncope. Swallow syncope did not recur for one year after implantation of a cardiac pacemaker.
Aged ; Atrioventricular Block ; Beverages ; Carbonated Beverages ; Deglutition ; Humans ; Syncope* ; Unconsciousness