A Case of Rhabdomyolysis, Acute Renal Failure, and Acute Hepatitis Due to Carp Bile Ingestion.
- Author:
Dong Geun YEO
1
;
Jeong Ki PARK
;
Wern Chan YOON
;
Ye Dal JUNG
;
Hak Jun KIM
;
Sun Joo CHO
;
In Hee LEE
;
Ki Sung AHN
;
Yong Jin KIM
Author Information
1. Department of Internal Medicine, School of Medicine, Catholic University of Taegu-Hyosung, Korea.
- Publication Type:Case Report
- Keywords:
Aacute tubular necrosis;
Acute hepatitis;
Raw carp gall bladder;
Rhabdomyolysis
- MeSH:
Acute Kidney Injury*;
Bile*;
Carps*;
Creatine Kinase;
Drug-Induced Liver Injury;
Eating*;
Hepatitis*;
Kidney;
Myoglobin;
Necrosis;
Pathology;
Rhabdomyolysis*;
Technetium Tc 99m Medronate;
Urinary Bladder
- From:Korean Journal of Nephrology
2000;19(5):972-976
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Sevral cases of acute renal failure and acute hepatitis after ingestion of raw carp gall bladder have been reported. We experienced for the first time 1 case of acute renal failure and acute hepatitis associated with rhabdomyolysis, which has not been seen in previous studies, after ingestion of the raw carp gall bladder. Serum creatine phosphokinase, myoglobin and urine myoglobin were increased and 99mTc-MDP bone scan showed diffusely increased uptake of isotope in soft tissue of whole body. The other laboratory data corresponded to acute tubular necrosis and acute toxic hepatitis. The kidney pathology showed the recovery phase of acute tubular necrosis. Etiologic factor for rhabdomyolysis was not found except carp gall bladder. We considered that carp gall bladder was etiologic factor for rhabdomyolysis and that rhabdomyolysis acted as agravatting factor for developing acute tubular necrosis due to carp bile toxicity in this case.
