Extremely rare case of necrotizing gastritis in a patient with autoimmune hepatitis: A case report
| Autor: | Sang Gyune Kim, Seung Ki Moon, Young Seok Kim, Jeong-Ju Yoo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry Azathioprine General Medicine Autoimmune hepatitis medicine.disease Dermatology 03 medical and health sciences Necrotizing Gastritis 0302 clinical medicine 030220 oncology & carcinogenesis Rare case Case report Medicine 030211 gastroenterology & hepatology business medicine.drug |
| Zdroj: | World Journal of Clinical Cases |
| ISSN: | 2307-8960 |
| Popis: | BACKGROUND Autoimmune hepatitis can cause liver fibrosis, liver cirrhosis, and hepatocellular carcinoma. Its treatment option include the use of steroids and/or immune-suppressive agents such as azathioprine. However, these drugs have some side effects. Thus, close follow-up is needed during treatment. Here, we present an extremely rare case of a patient with an autoimmune hepatitis who died from necrotizing gastritis during immunosuppressive treatment. CASE SUMMARY A 52-year-old female patient was diagnosed with autoimmune hepatitis. We treated this patient with immunosuppressive agents. High-dose steroid treatment was initially started. Then azathioprine treatment was added while steroid was tapering. Five weeks after the start of treatment, she visited the emergency room due to generalized abdominal pain and vomiting. After computed tomography scan, the patient was diagnosed with necrotizing gastritis and the patient progressed to septic shock. Treatment for sepsis was continued in the intensive care unit. However, the patient died at 6 h after admission to the emergency room. CONCLUSION In patients with autoimmune infections undergoing immunosuppressant therapy, rare complications such as necrotizing gastritis may occur, thus requiring clinical attention. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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