与急性非暴发性乙型肝炎相关的急性肾衰竭
Acute renal failure associated with acute non-fulminant hepatitis B.
作者信息
Kishi Tomoya, Ikeda Yuji, Takashima Tsuyoshi, Rikitake Shuichi, Miyazono Motoaki, Aoki Shigehisa, Sakemi Takanobu, Mizuta Toshihiko, Fujimoto Kazuma
机构信息
Tomoya Kishi, Yuji Ikeda, Tsuyoshi Takashima, Shuichi Rikitake, Motoaki Miyazono, Toshihiko Mizuta, Kazuma Fujimoto, Department of Internal Medicine, Saga University Faculty of Medicine, Saga 849-8501, Japan.
出版信息
World J Hepatol. 2013 Feb 27;5(2):82-5. doi: 10.4254/wjh.v5.i2.82.
A 38-year-old female presenting with a high fever of 39 °C developed severe liver dysfunction and acute renal failure (ARF). In tests for a hepatitis associated virus, an Immunoglobulin M-anti-hepatitis B virus core antibody was the only positive finding. Moreover, the progression of ARF coincided with the pole period of liver damage and all the other assumed causes for the ARF were unlikely. Therefore, this case was diagnosed as ARF caused by acute hepatitis B. ARF associated with non-fulminant hepatitis has been infrequently reported, usually in association with acute hepatitis A. This case is considered to be an extremely rare and interesting case.
一名38岁女性，体温高达39°C，出现严重肝功能障碍和急性肾衰竭（ARF）。在检测与肝炎相关的病毒时，仅发现免疫球蛋白M型抗乙肝病毒核心抗体呈阳性。此外，ARF的进展与肝损伤的高峰期相吻合，且所有其他推测的ARF病因均不太可能。因此，该病例被诊断为急性乙型肝炎所致的ARF。与非暴发性肝炎相关的ARF鲜有报道，通常与甲型肝炎有关。该病例被认为是极为罕见且有趣的病例。
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