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Oba, Kenzo; Kudo, Ritsuko; Yano, Makoto; Watanabe, Kentaro; Ajiro, Yumiko; Okazaki, Kyoji; Suzuki, Tatsuya; Nakano, Hiroshi; Metori, Shohei
Journal of Nippon Medical School, 2001, Volume: 68, Issue: 1Journal Article
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.
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