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- Noboru Hamada, Ruri Maeda, Atsuhito Suyama, Shouta Yuzurio, Wakako Oda, and Toshimitsu Suwaki.
- Department of Respiratory Medicine, Okayama City Hospital, Japan.
- Intern. Med. 2023 Aug 15; 62 (16): 233523392335-2339.
AbstractWe 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.
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