A Patient with E. coli-induced Pyelonephritis and Sepsis Who Transiently Exhibited Symptoms Associated with Primary Biliary Cirrhosis

  • OHNO Nobuhiko
    Department of Infectious Disease, Graduate School of Medicine, The University of Tokyo
  • OTA Yasuo
    Department of Infectious Disease, Graduate School of Medicine, The University of Tokyo
  • HATAKEYAMA Syuji
    Department of Infectious Disease, Graduate School of Medicine, The University of Tokyo
  • YANAGIMOTO Shintaro
    Department of Infectious Disease, Graduate School of Medicine, The University of Tokyo
  • MORISAWA Yuji
    Department of Infectious Disease, Graduate School of Medicine, The University of Tokyo
  • TSUKADA Kunihisa
    Department of Infectious Disease, Graduate School of Medicine, The University of Tokyo
  • KOIKE Kazuhiko
    Department of Infectious Disease, Graduate School of Medicine, The University of Tokyo
  • KIMURA Satoshi
    Department of Infectious Disease, Graduate School of Medicine, The University of Tokyo

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タイトル別名
  • Patient with E coli induced Pyelonephritis and Sepsis Who Transiently Exhibited Symptoms Associated with Primary Biliary Cirrhosis

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A 28-year-old woman had chief complaints of headache and a 40°C fever. At this time, findings indicative of inflammation including elevated CRP and increased WBC were observed, and E. coli was detected on blood and urine culture. As a result, the patient was diagnosed with pyelonephritis and sepsis. Furthermore, markedly increased hepatobiliary enzymes and elevated anti-mitochondrial antibody were confirmed. The administration of antimicrobial agents resulted in improvement of the pyelonephritis and sepsis and normalization of hepatobiliary enzyme and anti-mitochondrial antibody levels. It has been documented that the incidence of urinary tract infection is high among patients with primary biliary cirrhosis (PBC). The findings obtained from the present patient are of considerable interest in elucidating the mechanism of onset in PBC.<br>(Internal Medicine 42: 1144-1148, 2003)

収録刊行物

  • Internal Medicine

    Internal Medicine 42 (11), 1144-1148, 2003

    一般社団法人 日本内科学会

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