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Internal medicine journal · Jan 2022
Case ReportsVIPoma: an unsuspecting culprit of severe secretory diarrhoea in a human immunodeficiency virus-infected patient.
- Kanthi R Vemuri, Matthew I Balcerek, Tom E McGowan, Amanda Love, and Paul R Chapman.
- Department of Infectious Diseases, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
- Intern Med J. 2022 Jan 1; 52 (1): 125-129.
AbstractA 35-year-old man with known human immunodeficiency virus experienced chronic diarrhoea for 18 months. He presented to multiple hospitals with profuse secretory diarrhoea and life-threatening electrolyte disturbances. Infectious and non-infectious aetiologies were considered, with focussed history and investigations ultimately leading to a diagnosis of VIPoma. Initiation of somatostatin analogue therapy followed by surgical resection led to complete resolution of symptoms and markedly improved quality of life.© 2021 Royal Australasian College of Physicians.
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