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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

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