Adverse drug reaction of the month
Medication-induced oesophageal injury leading to
broncho-oesophageal fistula
N A McAndrew, M W Greenway
Department of
Health Care of the Elderly, Glan Clwyd Hospital, Rhyl, Denbighshire
LL18 5UJ, UK
Correspondence to: Dr NA McAndrew, Llandough Hospital, Penlan Road, Penarth, CF64 2XX, UK
Accepted 14 January
1999
Medication-induced oesophageal injury is one of the least
recognised side-effects of oral medication and, in contrast to other oesophageal pathologies, is rarely considered in the differential diagnosis of chest pain. We describe a case of medication-induced oesophageal injury with a rare complication in which the diagnosis was
not considered until the characteristic features were demonstrated at endoscopy.
Keywords: adverse drug reaction; acemetacin; oesophageal ulceration
© 1999 by The Fellowship of Postgraduate Medicine
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