Nanke Yuki
   Department   School of Nursing, School of Nursing
   Position   Professor
Article types Case report
Language English
Peer review Peer reviewed
Title Pancytopenia and colitis with Clostridium difficile in a rheumatoid arthritis patient taking methotrexate, antibiotics and non-steroidal anti-inflammatory drugs.
Journal Formal name:Clinical rheumatology
Abbreviation:Clin Rheumatol
ISSN code:(0770-3198)0770-3198(Linking)
Domestic / ForeginForegin
Volume, Issue, Page 20(1),pp.73-5
Author and coauthor Nanke Y, Kotake S, Akama H, Tomii M, Kamatani N
Publication date 2001
Summary Methotrexate (MTX) is widely used despite its side-effects. We describe a rheumatoid arthritis (RA) patient taking low-dose MTX who developed severe pancytopenia and colitis with Clostridium difficile after the administration of antibiotics for acute pyelonephritis. Our case suggests that low-dose MTX may seriously interact with antibiotics and that these side-effects should always be considered when RA patients are treated with MTX and antibiotics.
DOI 10.1007/PL00011187
PMID 11254248