Kaszyńska Aleksandra, Zielonka Tadeusz M, Życińska Katarzyna
Klinika Chorób Wewnętrznych I Metabolicznych, Szpital Czerniakowski w Warszawie, Warszawa, Polska.
Klinika Chorób Wewnętrznych I Metabolicznych, Szpital Czerniakowski w Warszawie, Warszawa, Polska, Katedra I Zakład Medycyny Rodzinnej, Warszawski Uniwersytet Medyczny, Warszawa, Polska.
Wiad Lek. 2019;72(2):294-297.
Cough may be a manifestation of pulmonary and extra-pulmonary diseases. However, rarely liver disease is suspected as a cause of acute cough. A case of a 34-year-old patient with diagnosed Caroli's disease has been described, in which cough with fever was the main manifestation of cholangitis in the course of complications of the underlying disease. Caroli's disease is a congenital pathology of intrahepatic bile ducts, causing their cysts to widen. It usually has an asymptomatic course, however it promotes infectious complications such as liver abscesses and recurrent cholangitis. The patient was admitted to the ward because of high fever and cough, without any symptoms from the digestive system. On the basis of laboratory, microbiological and visual examinations, various causes of cough were excluded and a diagnosis of cholangitis was made. After appropriate antibiotic therapy, a rapid improvement in the clinical condition and resolution of symptoms was achieved.
咳嗽可能是肺部和肺外疾病的一种表现。然而，很少会怀疑肝病是急性咳嗽的病因。本文描述了一例34岁确诊为卡罗里病的患者，在基础疾病的并发症过程中，发热伴咳嗽是胆管炎的主要表现。卡罗里病是肝内胆管的一种先天性病变，导致其囊肿扩张。它通常无症状，但易引发感染性并发症，如肝脓肿和复发性胆管炎。该患者因高热和咳嗽入院，无任何消化系统症状。基于实验室、微生物学和影像学检查，排除了咳嗽的各种病因，诊断为胆管炎。经过适当的抗生素治疗，临床状况迅速改善，症状得以缓解。
