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Laninamivir-induced ischemic enterocolitis: A case report
Authors:Chihiro Suzuki  Tsuneaki Kenzaka
Institution:Chihiro Suzuki, Tsuneaki Kenzaka, Department of Internal Medicine, Hyogo Prefectural Tamba Medical Center, Tanba 669-3495, JapanTsuneaki Kenzaka, Division of Community Medicine and Career Development, Kobe University Graduate School of Medicine, Kobe 652-0032, Japan
Abstract:BACKGROUNDNeuraminidase inhibitor-associated acute hemorrhagic colitis is rare. We report a case of ischemic enterocolitis that was likely caused by laninamivir.CASE SUMMARYA 54-year-old female patient with influenza type A was administered 40 mg of laninamivir via inhalation once. On the same day, the patient experienced bloody stools and lower abdominal pain. A contrast-enhanced abdominal computed tomography showed edema-like changes from the descending colon to the sigmoid colon, which suggested ischemic enterocolitis.CONCLUSIONWe treated a patient with ischemic enterocolitis caused by laninamivir, a rare but similar symptom following the administration of oseltamivir.
Keywords:Hemorrhagic colitis  Ischemic enterocolitis  Laninamivir  Influenza  Neuraminidase inhibitor  Case report
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