急性腎不全を合併した非Ａ非Ｂ型劇症肝炎の１救命例

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  • A case of acute renal failure due to non-A non-B fulminant hepatitis.

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We report the successful treatment of a 30-year-old man with acute renal failure due to non-A non-B fulminant hepatitis. The patient was admitted to our department because of general malaise, markedly abnormal liver functions and oliguria. His consciousness level and prothrombin time indicated fulminant hepatitis, and laboratory studies revealed acute renal failure. He was treated as follows: plasma exchange, continuous venovenous hemofiltration (CVVH) and hemodialysis. About one month after the initiation of hemodialysis, urine volume began to recover and renal and liver functions improved. Liver histology showed that the patient was in the recovery stage of acute hepatitis. Treatment is rarely successful in patients with fulminant hepatitis and acute renal failure, especially when non-A non-B fulminant hepatitis is involved.

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