Sharma B K, Pounder R E, Kirk R M, Noone P, Wilson D W
J Infect. 1985 Jan;10(1):60-4. doi: 10.1016/s0163-4453(85)80012-8.
Treatment with oral prednisolone appears to have precipitated an episode of ascending cholangitis in an asymptomatic 55-year-old patient. He had undergone a Pólya partial gastrectomy, a cholecystectomy and a sphincteroplasty 19, 6 and 2 years earlier, respectively. The cholangitis was complicated by septicaemia with six different enteric organisms including aerobes and anaerobes. He developed liver and lung abscesses, and an indolent Pseudomonas aeruginosa septic arthritis of both hip joints. The patient eventually made a complete recovery, but required surgical replacement of both hips.
口服泼尼松龙治疗似乎促使一名55岁无症状患者发生了上行性胆管炎。他分别在19年、6年和2年前接受了波利亚部分胃切除术、胆囊切除术和括约肌成形术。胆管炎并发败血症，感染了包括需氧菌和厌氧菌在内的六种不同肠道细菌。他出现了肝脓肿和肺脓肿，以及双侧髋关节的惰性铜绿假单胞菌败血症性关节炎。患者最终完全康复，但需要手术置换双侧髋关节。
