A Case of Ceftriaxone-induced Pseudocholelithiasis |
Hong Kwon Kim1, Jeong Ho Kim1, Kyung Mo Kim1, Chong Hyun Yoon2 |
1Department of Pediatrics, College of Medicine, Ulsan University, Seoul, Korea 2Department of Diagnostic Radiology, College of Medicine, Ulsan University, Seoul, Korea |
Ceftriaxone 치료 후에 속발한 가담석증 1례 |
김홍권1, 김정호1, 김경모1, 윤종현2 |
1울산대학교 의과대학 서울중앙병원 소아과학교실 2울산대학교 의과대학 서울중앙병원 방사선과학교실 |
Correspondence:
Hong Kwon Kim, Email: 1 |
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Abstract |
Ceftriaxone, a third-generation cephalosporin, is a very potent, broad spectrum antibiotic commonly used in patients with meningitis, osteomyelitis, pyelonephritis, Lyme disease and many other severe infectious diseases. Up to 46% of those receiving this antibiotic develop gallbladder sludge. Most of them are asymptomatic, but a small proportion may develop right upper quadrant pain, nausea, vomiting and even cholecystitis. We report a case of ceftriaxone-induced pseudocholelithiasis in a 5-year-old boy. We also emphasize the fact that surgical interventions such as cholecystectomy is not necessary, because the condition may resolve spontaneously after cessation of the drug. |
Key Words:
Ceftriaxone, Biliary Pseudolithiasis, Pseudocholelithiasis, Gallbladder sludge |
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