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ArticleTitle	Ileus After Administration of Cold Remedy in an Elderly Diabetic Patient Treated with Acarbose
AuthorList	Kenzo Oba, Ritsuko Kudo, Makoto Yano, Kentaro Watanabe, Yumiko Ajiro, Kyoji Okazaki, Tatsuya Suzuki, Hiroshi Nakano and Shohei Metori
Affiliation	The Division of Geriatric Medicine, Nippon Medical School
Language	EN
Volume	68
Issue	1
Year	2001
Page	61-64
Received	September 18, 2000
Accepted	October 19, 2000
Keywords	acarbose, α-glucosidase inhibitor, elderly, diabetes mellitus, ileus
Abstract	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 α-glucosidase inhibitors.
Correspondence to	Kenzo Oba MD, The Division of Geriatric Medicine, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan