Medicina Digestiva, Hospital Clínico Universitario de Valencia, España.
Medicina Digestiva, Hospital Clínico Universitario de Valencia.
Rev Esp Enferm Dig. 2022 Jan;114(1):64-65. doi: 10.17235/reed.2021.8045/2021.
We present the case of a 60-year-old female with no drug allergies or toxic habits, with hypothyroidism, and receiving treatment with levothyroxine. She was admitted in February 2021 and presented with choluria of 72 hours duration; there were no abdominal or respiratory clinical symptoms, and no related fever. Medical examination findings included mucocutaneous jaundice and a recorded oxygen saturation of 97 % in ambient air. There was a notable pattern of cytolysis compatible with acute hepatitis, and no history hepatotoxic drugs. Screening was performed for acute hepatitis in addition to serology testing, determination of autoantibodies and immunoglobulins, a PCR test for COVID, and a radiologic study.
我们报告一例 60 岁女性病例，无药物过敏或有毒习惯，患有甲状腺功能减退症，并接受左甲状腺素治疗。她于 2021 年 2 月入院，出现 72 小时的胆汁尿；无腹部或呼吸道临床症状，也无相关发热。体格检查发现黏膜皮肤黄疸，环境空气中的血氧饱和度记录为 97%。存在明显的细胞溶解模式，符合急性肝炎，无肝毒性药物史。除了进行急性肝炎筛查外，还进行了血清学检测、自身抗体和免疫球蛋白测定、COVID 的 PCR 检测和影像学研究。
