Ischaemic colitis and ergotamine – A case report

Detalhes bibliográficos
Autor(a) principal: Carrola, Paulo
Data de Publicação: 2003
Outros Autores: Devesa, Nuno, Sequeira, Cláudia, Parente, Francisco, Alexandrino, Borges, Moura, José J.
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://revista.spmi.pt/index.php/rpmi/article/view/1815
Resumo: The A.A. describe the case of a 49-year-old man, previously diagnosed as having migrainewith aura and essential hypertension, who came to the emergency room because he experiencedsyncope after suddenly feeling abdominal pain.In the hospital three episodes of liquid bloody stools were reported. The patient had experienced fronto-occipital headaches during the week prior to admission and had self-medicated with an ergotamine derivate (ergotamine tartarate).Examination revealed abdominal pain on deeppalpation of the inferior quadrants. A colonoscopy showed oedematous mucosa and scattered erosions distal to the median transverse colon and minimal lesions in the recto-sigmoidtransition. Colon biopsy identified ischaemic colitis. After suspension of enteric nutrition andsupportive care, the patient recovered.The authors review the possible interactions between ischaemic colitis and drugs, underlyingthe rarity of the case. Early diagnosis and notification to the National Pharmacovigilance Centre are extremely important.
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spelling Ischaemic colitis and ergotamine – A case reportColite isquémica e ergotamina – Caso clínicoColite isquémicaenxaquecaergotaminafármacosIschaemic colitismigraineergotaminedrugsThe A.A. describe the case of a 49-year-old man, previously diagnosed as having migrainewith aura and essential hypertension, who came to the emergency room because he experiencedsyncope after suddenly feeling abdominal pain.In the hospital three episodes of liquid bloody stools were reported. The patient had experienced fronto-occipital headaches during the week prior to admission and had self-medicated with an ergotamine derivate (ergotamine tartarate).Examination revealed abdominal pain on deeppalpation of the inferior quadrants. A colonoscopy showed oedematous mucosa and scattered erosions distal to the median transverse colon and minimal lesions in the recto-sigmoidtransition. Colon biopsy identified ischaemic colitis. After suspension of enteric nutrition andsupportive care, the patient recovered.The authors review the possible interactions between ischaemic colitis and drugs, underlyingthe rarity of the case. Early diagnosis and notification to the National Pharmacovigilance Centre are extremely important.Os A.A. apresentam o caso de um homem de 49 anos, com antecedentes de enxaqueca comaura e hipertensão arterial, que inicia cefaleias fronto-occipitais e, na sequência disso, automedicação com um derivado da ergotamina (tartarato de ergotamina). Uma semana depoisrecorre ao serviço de urgência, por lipotímiaapós início súbito de dor abdominal. No hospital apresentou três dejecções líquidas com sangue.O exame físico evidenciou dor à palpação abdominal profunda dos quadrantes inferiores,embora sem defesa. A colonoscopia mostrou,distalmente ao cólon transverso médio, congestão e erosões e lesões mais discretas na transição recto-sigmóide, sendo a biopsia do cólon compatível com colite isquémica. Ocorreu melhoria clínica e analítica progressiva após pausa alimentar e terapêutica de suporte.É feita uma revisão da literatura acerca da colite isquémica e sua relação com fármacos,destacando a raridade do caso e a necessidade, não só de efectuar um diagnóstico precoce,mas também de proceder à sua posterior notificação para o Sistema Nacional de Farmaco-vigilância.Sociedade Portuguesa de Medicina Interna2003-09-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spmi.pt/index.php/rpmi/article/view/1815Internal Medicine; Vol. 10 No. 3 (2003): Julho/ Setembro; 147-152Medicina Interna; Vol. 10 N.º 3 (2003): Julho/ Setembro; 147-1522183-99800872-671Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spmi.pt/index.php/rpmi/article/view/1815https://revista.spmi.pt/index.php/rpmi/article/view/1815/1264Carrola, PauloDevesa, NunoSequeira, CláudiaParente, FranciscoAlexandrino, BorgesMoura, José J.info:eu-repo/semantics/openAccess2023-05-27T06:10:42Zoai:oai.revista.spmi.pt:article/1815Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:56:22.018003Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Ischaemic colitis and ergotamine – A case report
Colite isquémica e ergotamina – Caso clínico
title Ischaemic colitis and ergotamine – A case report
spellingShingle Ischaemic colitis and ergotamine – A case report
Carrola, Paulo
Colite isquémica
enxaqueca
ergotamina
fármacos
Ischaemic colitis
migraine
ergotamine
drugs
title_short Ischaemic colitis and ergotamine – A case report
title_full Ischaemic colitis and ergotamine – A case report
title_fullStr Ischaemic colitis and ergotamine – A case report
title_full_unstemmed Ischaemic colitis and ergotamine – A case report
title_sort Ischaemic colitis and ergotamine – A case report
author Carrola, Paulo
author_facet Carrola, Paulo
Devesa, Nuno
Sequeira, Cláudia
Parente, Francisco
Alexandrino, Borges
Moura, José J.
author_role author
author2 Devesa, Nuno
Sequeira, Cláudia
Parente, Francisco
Alexandrino, Borges
Moura, José J.
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Carrola, Paulo
Devesa, Nuno
Sequeira, Cláudia
Parente, Francisco
Alexandrino, Borges
Moura, José J.
dc.subject.por.fl_str_mv Colite isquémica
enxaqueca
ergotamina
fármacos
Ischaemic colitis
migraine
ergotamine
drugs
topic Colite isquémica
enxaqueca
ergotamina
fármacos
Ischaemic colitis
migraine
ergotamine
drugs
description The A.A. describe the case of a 49-year-old man, previously diagnosed as having migrainewith aura and essential hypertension, who came to the emergency room because he experiencedsyncope after suddenly feeling abdominal pain.In the hospital three episodes of liquid bloody stools were reported. The patient had experienced fronto-occipital headaches during the week prior to admission and had self-medicated with an ergotamine derivate (ergotamine tartarate).Examination revealed abdominal pain on deeppalpation of the inferior quadrants. A colonoscopy showed oedematous mucosa and scattered erosions distal to the median transverse colon and minimal lesions in the recto-sigmoidtransition. Colon biopsy identified ischaemic colitis. After suspension of enteric nutrition andsupportive care, the patient recovered.The authors review the possible interactions between ischaemic colitis and drugs, underlyingthe rarity of the case. Early diagnosis and notification to the National Pharmacovigilance Centre are extremely important.
publishDate 2003
dc.date.none.fl_str_mv 2003-09-30
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revista.spmi.pt/index.php/rpmi/article/view/1815
url https://revista.spmi.pt/index.php/rpmi/article/view/1815
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revista.spmi.pt/index.php/rpmi/article/view/1815
https://revista.spmi.pt/index.php/rpmi/article/view/1815/1264
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Medicina Interna
publisher.none.fl_str_mv Sociedade Portuguesa de Medicina Interna
dc.source.none.fl_str_mv Internal Medicine; Vol. 10 No. 3 (2003): Julho/ Setembro; 147-152
Medicina Interna; Vol. 10 N.º 3 (2003): Julho/ Setembro; 147-152
2183-9980
0872-671X
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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