Document Detail


Fulminant pneumatosis intestinalis in a patient with diabetes mellitus and minimal change nephrotic syndrome.
MedLine Citation:
PMID:  17202732     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of pneumatosis intestinalis in a diabetic patient with minimal change nephrotic syndrome, receiving immunosuppressive drugs and an alpha-glucosidase inhibitor. The patient was a 72-year-old female, who suffered from right lower abdominal pain. Abdominal CT showed massive air in the intestinal wall, compatible with pneumatosis intestinalis. Her general condition rapidly deteriorated with systemic inflammatory response syndrome. The patient had received respiratory support for a week, along with antimicrobial therapy and continuous hemofiltration, and then recovered. Even though pneumatosis intestinalis is generally recognized as a mild disease, careful attention is necessary when it follows a serious condition.
Authors:
Yoshitaka Maeda; Naoto Inaba; Makoto Aoyagi; Eiichiro Kanda; Tatsuo Shiigai
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-01-01
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  46     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2007  
Date Detail:
Created Date:  2007-01-04     Completed Date:  2007-01-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  41-4     Citation Subset:  IM    
Affiliation:
Nephrology Section, Department of Internal Medicine, Toride Kyodo General Hospital, Tokyo. yoshimaeda43@yahoo.co.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Diabetes Complications / complications*,  drug therapy
Enzyme Inhibitors / adverse effects,  therapeutic use
Female
Hemofiltration
Humans
Immunosuppressive Agents / adverse effects,  therapeutic use
Nephrosis, Lipoid / complications*,  drug therapy
Pneumatosis Cystoides Intestinalis / diagnosis,  etiology*
Risk Factors
alpha-Glucosidases / antagonists & inhibitors
Chemical
Reg. No./Substance:
0/Enzyme Inhibitors; 0/Immunosuppressive Agents; EC 3.2.1.20/alpha-Glucosidases

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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