[A case of pneumatosis cystoides intestinalis induced by steroid pulse therapy for severe acute hepatitis B].
Nihon Shokakibyo Gakkai Zasshi
; 108(7): 1237-43, 2011 Jul.
Article
em Ja
| MEDLINE
| ID: mdl-21737976
ABSTRACT
A 26-year-old Japanese woman was admitted to the hospital because of fever and general fatigue. A diagnosis of acute hepatitis B was given because of high levels of transaminase and positivity for HBs-Ag, HBe-Ag and HBc-IgM. On the 2nd day progression to fulminant hepatitis was suspected, and steroid pulse therapy, cyclosporin, entecavir, and interferon-ß were started. Her laboratory data improved until transaminase showed an increase on 18th day, and steroid was once again administered. Abdominal CT scan and plain abdominal X-ray showed pneumatosis cystoides intestinalis (PCI) mainly along the ascending colon without any symptoms. After discontinuation of steroid therapy, abnormal gas gradually disappeared. This is a very rare case of PCI, which may have been caused by short-term steroid pulse therapy.
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Base de dados:
MEDLINE
Assunto principal:
Pneumatose Cistoide Intestinal
/
Metilprednisolona
/
Hepatite B
Idioma:
Ja
Ano de publicação:
2011
Tipo de documento:
Article