Acute Hemorrhagic Rectal Ulcer Complicated by Cytomegalovirus Enteritis following Steroid Pulse Therapy for Acute Exacerbation of Interstitial Pneumonia
We herein report a rare case of acute hemorrhagic rectal ulcer (AHRU) complicated by cytomegalovirus enteritis following steroid pulse therapy for interstitial pneumonia. An 86-year-old woman underwent steroid pulse therapy for interstitial pneumonia. She was bedridden with dyspnea and suddenly developed melena. Colonoscopy revealed AHRU, which did not improve with conservative treatment, but did improve with ganciclovir administration for cytomegalovirus enteritis. This gastrointestinal complication has not received much attention by pulmonologists who perform steroid pulse therapy for interstitial pneumonia. Delayed treatment of this complications can be fatal. Caution should be taken when administering steroid pulse therapy to bedridden patients with interstitial pneumonia.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:62 |
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| Enthalten in: |
Internal medicine (Tokyo, Japan) - 62(2023), 16 vom: 15. Aug., Seite 2335-2339 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Hamada, Noboru [VerfasserIn] |
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| Links: |
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| Themen: |
Acute hemorrhagic rectal ulcer |
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| Anmerkungen: |
Date Completed 18.08.2023 Date Revised 10.09.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.2169/internalmedicine.0823-22 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM350547955 |
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| 520 | |a We herein report a rare case of acute hemorrhagic rectal ulcer (AHRU) complicated by cytomegalovirus enteritis following steroid pulse therapy for interstitial pneumonia. An 86-year-old woman underwent steroid pulse therapy for interstitial pneumonia. She was bedridden with dyspnea and suddenly developed melena. Colonoscopy revealed AHRU, which did not improve with conservative treatment, but did improve with ganciclovir administration for cytomegalovirus enteritis. This gastrointestinal complication has not received much attention by pulmonologists who perform steroid pulse therapy for interstitial pneumonia. Delayed treatment of this complications can be fatal. Caution should be taken when administering steroid pulse therapy to bedridden patients with interstitial pneumonia | ||
| 650 | 4 | |a Case Reports | |
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| 650 | 4 | |a cytomegalovirus enteritis | |
| 650 | 4 | |a interstitial pneumonia | |
| 650 | 4 | |a steroid pulse therapy | |
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| 700 | 1 | |a Oda, Wakako |e verfasserin |4 aut | |
| 700 | 1 | |a Suwaki, Toshimitsu |e verfasserin |4 aut | |
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