A 57 year old man with chronic renal failure and cardiac tamponade who developed ischemic hepatitis
| Autor: | Jaime Galindo-Uribe, Eduardo López-Méndez, Vanessa Angulo-Ramírez, Iván López-Méndez, Misael Uribe, Pablo Hernández-Reyes, Lourdes Avila-Escobedo, Eric López-Méndez |
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| Předmět: |
Male
medicine.medical_specialty Cardiac output Encephalopathy aspartate transferase hepatic encephalopathy Specialties of internal medicine Hypoglycemia medicine.disease_cause Risk Assessment Hypoxemia Hepatitis Electrocardiography Ischemic hepatitis Liver Function Tests Ischemia Internal medicine Cardiac tamponade Medicine Humans Hepatic encephalopathy alanine transferase Hepatology medicine.diagnostic_test business.industry General Medicine Middle Aged medicine.disease Combined Modality Therapy Echocardiography Doppler Surgery Cardiac Tamponade Treatment Outcome RC581-951 Liver Liver biopsy Cardiology Kidney Failure Chronic medicine.symptom business Follow-Up Studies |
| Zdroj: | Scopus-Elsevier Annals of Hepatology, Vol 5, Iss 1, Pp 50-52 (2006) |
| Popis: | Ischemic hepatitis is an infrequent entity, usually associated with low cardiac out put. We present a case of a 57 year-old man with chronic renal failure and cardiac tamponade who developed elevation of serum alanine transferase level of 5,054 U/L, aspartate transferase level of 8,747 U/L and lactate dehydrogenasa level of 15,220 U/L. The patient developed hepatic encephalopathy and hypoglycemia. Liver Doppler ultrasound was normal. He was seronegative for HBV and HCV, drugs list was scrutinized for the names of known hepatotoxins. Ischemic hepatitis was diagnosed. The hypoglycemia and encephalopathy were solved and the patient was discharged with normal transaminase levels. Ischemic hepatitis is typically preceded by hypotension, hypoxemia, or both. As one would expect, the most common cause of sustained systemic hypotension is cardiovascular disease. Liver biopsy is usually not necessary. The best treatment is support measures and correct the underlying condition. |
| Databáze: | OpenAIRE |
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