一名胰腺癌合并肺结核患者在接受抗结核治疗后出现肠梗阻:病例报告。

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL
Wei Hong, Lei Zhang, Zunshun Yu, Yanjun Wang, Youkun Qi
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引用次数: 0

摘要

简介:肠梗阻是晚期恶性肿瘤患者常见的并发症:肠梗阻是晚期恶性肿瘤患者常见的并发症,通常是由于疾病本身或用于止痛的阿片类镇痛药的副作用所致。然而,抗结核治疗后发生肠梗阻的情况却很少见:我们报告了一例独特的病例,患者是一名 58 岁的亚洲男性,被诊断为胰腺癌 IV 期和肺结核。患者开始使用盐酸乙胺丁醇、吡嗪酰胺、利福平和异烟肼片剂(II)治疗肺结核,同时使用吗啡治疗严重的癌症相关疼痛。随后,他出现了肠梗阻的症状。尽管停用了吗啡,但患者的症状依然存在,直到他自主停用所有药物,病情才迅速好转。这一出乎意料的缓解突出表明,抗结核药物可能是导致其肠梗阻的原因:本病例强调了将抗结核药物视为肠梗阻潜在病因的重要性,尤其是对于那些对药物引起的胃肠道副作用的常规治疗策略无反应的患者。该病例还强调,在为晚期恶性肿瘤患者开具此类药物处方时,必须提高警惕并加强监测,以便及时发现并解决罕见但严重的副作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intestinal obstruction following antituberculosis therapy in a patient with pancreatic carcinoma and pulmonary tuberculosis: a case report.

Introduction: Intestinal obstruction is a common complication in patients with advanced malignancies, often attributed to the disease itself or as a side effect of opioid analgesics used for pain management. However, the occurrence of intestinal obstruction following antituberculosis therapy is rare.

Case presentation: We report a unique case of a 58-year-old Asian male diagnosed with stage IV pancreatic carcinoma and pulmonary tuberculosis. The patient was initiated on a regimen of ethambutol hydrochloride, pyrazinamide, rifampicin, and isoniazid tablets (II) for tuberculosis, alongside morphine for the management of severe cancer-related pain. Subsequently, he developed symptoms indicative of intestinal obstruction. Despite discontinuation of morphine, the patient's symptoms persisted until he autonomously ceased all medications, leading to a rapid improvement in his condition. This unexpected resolution highlighted the antituberculosis drugs as the probable cause of his intestinal obstruction.

Conclusions: This case underscores the importance of considering antituberculosis drugs as a potential cause of intestinal obstruction, especially in patients who do not respond to conventional management strategies for drug-induced gastrointestinal side effects. It also emphasizes the need for heightened vigilance and monitoring when prescribing these medications to patients with advanced malignancies, to promptly identify and address rare but significant side effects.

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来源期刊
Journal of Medical Case Reports
Journal of Medical Case Reports Medicine-Medicine (all)
CiteScore
1.50
自引率
0.00%
发文量
436
期刊介绍: JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
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