Ceftriaxone-associated Biliary Pseudolithiasis with Elderly Type 1 Diabetes Mellitus: Two Case Reports

被引：0
|
作者：
Kanazawa, Ken [1 ,2 ]
Suzuki, Shogo [1 ,2 ]
Inaba, Tatsuro [1 ,2 ]
Koga, Shinichiro [1 ,2 ]
Kuwabara, Koichiro [1 ,2 ]
机构：
[1] Tokyo Rosai Occupat Dis & Injuries Hosp, Dept Diabet, Japan Lab Hlth & Safety Org, Tokyo, Japan
[2] Tokyo Rosai Occupat Dis & Injuries Hosp, Dept Metab & Endocrinol, Japan Lab Hlth & Safety Org, Tokyo, Japan
来源：
INTERNAL MEDICINE | 2023年 / 62卷 / 22期
关键词：
diabetes mellitus; type; 1; aged; ceftriaxone; lithiasis; GALLBLADDER MOTILITY; SLUDGE;
D O I：
10.2169/internalmedicine.1405-22
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Biliary pseudolithiasis is a ceftriaxone (CTRX)-induced complication, but the risk in cases of elderly type 1 diabetes mellitus (T1DM) is unclear. Case 1: A 78-year-old woman with T1DM complicated by diabetic autonomic neuropathy was admitted with pneumonia and treated with CTRX. On day 8, biliary pseudolithiasis and cholecystitis were observed. Case 2: an 80-year-old woman with T1DM was suspected of having a urinary tract infection and treated with CTRX. After a week, she developed asymptomatic biliary pseudolithiasis with gastroparesis. CTRX-associated biliary pseudolithiasis was thus noted in these cases of elderly T1 DM. CTRX should be cautiously administered, especially in elderly T1DM patients with diabetic autonomic neuropathy.
引用
收藏
页码：3367 / 3371
页数：5
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