Acute Hemorrhagic Rectal Ulcer Complicated by Cytomegalovirus Enteritis following Steroid Pulse Therapy for Acute Exacerbation of Interstitial Pneumonia.

Noboru Hamada, Ruri Maeda, Atsuhito Suyama, Shouta Yuzurio, Wakako Oda, Toshimitsu Suwaki

Open access · diamondAbstract readCase Reports

In one paragraph

Article in Internal medicine (Tokyo, Japan), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

0.3field-weighted citation impact, top 39% of its field

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Noboru HamadaDepartment of Respiratory Medicine, Okayama City Hospital, Japan.

Ruri MaedaDepartment of Respiratory Medicine, Okayama City Hospital, Japan.

Atsuhito SuyamaDepartment of Respiratory Medicine, Okayama City Hospital, Japan.

Shouta YuzurioDepartment of Respiratory Medicine, Okayama City Hospital, Japan.

Wakako OdaDepartment of Pathology, Okayama City Hospital, Japan.

Toshimitsu SuwakiDepartment of Respiratory Medicine, Okayama City Hospital, Japan.

Okayama Prefecture · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We 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.

Indexed as

Colonic DiseasesCytomegalovirus InfectionsEnteritisLung Diseases, InterstitialAcute DiseaseAged, 80 and overCytomegalovirusFemaleGastrointestinal HemorrhageHumansSteroidsUlcerSteroidsacute hemorrhagic rectal ulcerbedridden statuscytomegalovirus enteritisinterstitial pneumoniasteroid pulse therapy

Identifiers

PMID36543211

DOI10.2169/internalmedicine.0823-22

PMCPMC10484779

OpenAlexW4312093899

What OpenQuestion holds

Textmetadata

LicenceCC BY-NC-ND

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.