title: [A case of severe intestinal tuberculosis, treated with ciprofloxacin, kanamycin and prednisolone].
abstract: A 31-year-old man was admitted to our hospital because of frequent diarrhea. Colonoscopy showed ring ulcers on the rectum and ascending colon and chest X-ray showed abnormal shadows which were diagnosed as tuberculosis by sputum PCR. He started treatment with isoniazid (INH), rifampicin (RFP), pyrazinamide (PZA) and streptomycin (SM), however, eruption and ileus were seen. Then, he was retreated with ciprofloxacin (CPFX), kanamycin sulfate (KM) and prednisolone (PSL). Subsequently, we added RFP and further added calcium para-aminosalicylate (PAS). All these treatment was effective, and he was discharged from the hospital.
authors.affiliation: Department of Internal Medicine, NHO Tenryu National Hospital, 4201-2, Oro, Hamamatsu-shi, Shizuoka 434-8511 Japan. shiraim@smail.plala.or.jp
authors.forename: Masahiro
authors.initials: M
authors.lastname: Shirai
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Hayakawa
authors.forename: Yasukatsu
authors.initials: Y
authors.lastname: Nakano
authors.forename: Yutaro
authors.initials: Y
authors.lastname: Nakamura
authors.forename: Kaoru
authors.initials: K
authors.lastname: Fujita
authors.forename: Takafumi
authors.initials: T
authors.lastname: Suda
authors.forename: Kingo
authors.initials: K
authors.lastname: Chida
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D000890:Anti-Infective Agents / Q000627:therapeutic use*; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D002939:Ciprofloxacin / Q000627:therapeutic use*; D004359:Drug Therapy, Combination; D006801:Humans; D007612:Kanamycin / Q000627:therapeutic use*; D008297:Male; D011239:Prednisolone / Q000627:therapeutic use*; D014385:Tuberculosis, Gastrointestinal / Q000188:drug therapy*
chemical_list: D000900:Anti-Bacterial Agents; D000890:Anti-Infective Agents; D000893:Anti-Inflammatory Agents; D007612:Kanamycin; D002939:Ciprofloxacin; D011239:Prednisolone