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

页码：3367 / 3371

页数：5

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