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Journal of Nippon Medical School = Nippon Ika Daigaku zasshi · 2001

Ileus after administration of cold remedy in an elderly diabetic patient treated with acarbose.

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Oba K, Kudo R, Yano M, Watanabe K, Ajiro Y, Okazaki K, Suzuki T, Nakano H, Metori S

Аннотация

A 69-year-old type 2 diabetic man was admitted due to diabetic gangrane. He had a history of subtotal gastrectomy. During hospitalization, he was treated with regular insulin and 300 mg/day of acarbose. He developed a low grade fever, cough and nasal discharge, and was given a compound "cold" remedy with anticholenergic properties. The next day, he suffered from a paralytic ileus. Oral intake and acarbose were withheld and the ileus spontaneously resolved after 2 days. These finding indicate the possibility that the ileus was triggered by drugs with anticholinergic properties in this elderly diabetic patient treated with alpha-glucosidase inhibitors.

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