rss
Postgrad Med J 2000;76:795-796 doi:10.1136/pmj.76.902.795
  • Adverse drug reaction of the month

Complete dysphagia after thrombolytic treatment for myocardial infarction

  1. T Mosimanna,
  2. L Terraccianob,
  3. C Sieberc,
  4. F Rappoa
  1. aDepartment of Internal Medicine, Thierstein Hospital, 4042 Breitenbach, Switzerland, bDepartment of Pathology, University Hospital Basle, 4031 Basle, Switzerland, cDepartment of Gastroenterology, University Hospital Basle
  1. Dr T Mosimann, Department of Internal Medicine, Kantonsspital Luzern, 6000 Luzern 16, Switzerlandthierry.mosimann{at}datacomm.ch
  • Received 26 October 1999
  • Accepted 10 February 2000

Abstract

An 82 year old man was admitted to hospital with unstable angina pectoris. There was a long history of minor symptoms suggesting reflux disease, with a small diaphragmatic hernia. One day after admission the patient complained of severe chest pain. An acute inferior-posterior myocardial infarction was diagnosed on ECG, and thrombolytic treatment with alteplase (rt-PA) was initiated. Within a few hours total dysphagia occurred, caused by haemorrhagic oesophagitis. The haematoma resolved spontaneously within about 10 days. The patient was discharged three weeks later after full resolution of the dysphagia.

Footnotes

    This Article

    1. Abstract
    2. Full text
    3. PDF

    Responses

    1. Submit a response
    2. No responses published

    Register for free content

    The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

    Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.