دورية أكاديمية
Shiga toxin-producing Escherichia coli-associated hemolytic uremic syndrome with recurrent acute cholecystitis: a case report.
العنوان: | Shiga toxin-producing Escherichia coli-associated hemolytic uremic syndrome with recurrent acute cholecystitis: a case report. |
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المؤلفون: | Uwatoko R; Department of Kidney Disease and Hypertension, Osaka General Medical Center, 3-1-56 Bandai-Higashi, Sumiyoshi-ku, Osaka, 558-8558, Japan. ryutauwatoko@gmail.com., Kani N; Department of Kidney Disease and Hypertension, Osaka General Medical Center, 3-1-56 Bandai-Higashi, Sumiyoshi-ku, Osaka, 558-8558, Japan., Makino S; Department of Kidney Disease and Hypertension, Osaka General Medical Center, 3-1-56 Bandai-Higashi, Sumiyoshi-ku, Osaka, 558-8558, Japan., Naka T; Department of Kidney Disease and Hypertension, Osaka General Medical Center, 3-1-56 Bandai-Higashi, Sumiyoshi-ku, Osaka, 558-8558, Japan., Okamoto K; Department of Kidney Disease and Hypertension, Osaka General Medical Center, 3-1-56 Bandai-Higashi, Sumiyoshi-ku, Osaka, 558-8558, Japan., Miyakawa H; Department of Kidney Disease and Hypertension, Osaka General Medical Center, 3-1-56 Bandai-Higashi, Sumiyoshi-ku, Osaka, 558-8558, Japan., Hashimoto N; Department of Kidney Disease and Hypertension, Osaka General Medical Center, 3-1-56 Bandai-Higashi, Sumiyoshi-ku, Osaka, 558-8558, Japan., Iio R; Department of Kidney Disease and Hypertension, Osaka General Medical Center, 3-1-56 Bandai-Higashi, Sumiyoshi-ku, Osaka, 558-8558, Japan., Ueda Y; Department of Kidney Disease and Hypertension, Osaka General Medical Center, 3-1-56 Bandai-Higashi, Sumiyoshi-ku, Osaka, 558-8558, Japan., Hayashi T; Department of Kidney Disease and Hypertension, Osaka General Medical Center, 3-1-56 Bandai-Higashi, Sumiyoshi-ku, Osaka, 558-8558, Japan. |
المصدر: | CEN case reports [CEN Case Rep] 2024 Jun; Vol. 13 (3), pp. 215-219. Date of Electronic Publication: 2023 Nov 14. |
نوع المنشور: | Case Reports; Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Springer Japan Country of Publication: Japan NLM ID: 101636244 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2192-4449 (Electronic) Linking ISSN: 21924449 NLM ISO Abbreviation: CEN Case Rep Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Tokyo : Springer Japan, [2012]- |
مواضيع طبية MeSH: | Cholecystitis, Acute*/diagnosis , Cholecystitis, Acute*/microbiology , Hemolytic-Uremic Syndrome*/microbiology , Hemolytic-Uremic Syndrome*/complications , Hemolytic-Uremic Syndrome*/diagnosis , Recurrence* , Escherichia coli Infections*/complications , Escherichia coli Infections*/diagnosis , Shiga-Toxigenic Escherichia coli*/isolation & purification, Humans ; Male ; Aged, 80 and over ; Renal Dialysis ; Cholecystectomy/methods ; Plasma Exchange/methods ; Tomography, X-Ray Computed/methods |
مستخلص: | Shiga toxin-producing Escherichia coli-associated hemolytic uremic syndrome (STEC-HUS) can induce life-threatening complications, including acute kidney injury, encephalopathy, and gastrointestinal complications. On the other hand, there have been few reports of cholecystitis associated with STEC-HUS. In this study, we report the case of an 83-year-old Japanese man who developed recurrent acute cholecystitis associated with STEC-HUS. Prior to establishing a definite diagnosis of STEC-HUS, plasma exchange and hemodialysis were initiated, which resulted in a rapid increase in the platelet count and decrease in lactate dehydrogenase levels. The patient presented an enlarged gallbladder detected by computed tomography during the course of treatment. Due to recurrent flare-ups, the patient had to undergo several rounds of endoscopic retrograde biliary drainage and, ultimately, cholecystectomy to prevent relapse of acute cholecystitis. Since cholecystitis was thought to have been caused by complex mechanisms in this case, we discussed those from multiple perspectives. This case report highlights the need for particular care to be given to the management of pre-existing diseases as well as STEC-HUS, especially in older patients. (© 2023. The Author(s), under exclusive licence to Japanese Society of Nephrology.) |
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فهرسة مساهمة: | Keywords: Acute cholecystitis; Cholestasis; Gallstone; Hemolytic uremic syndrome; Shiga toxin-producing Escherichia coli |
تواريخ الأحداث: | Date Created: 20231114 Date Completed: 20240601 Latest Revision: 20240822 |
رمز التحديث: | 20240823 |
مُعرف محوري في PubMed: | PMC11144172 |
DOI: | 10.1007/s13730-023-00831-5 |
PMID: | 37962818 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2192-4449 |
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DOI: | 10.1007/s13730-023-00831-5 |