Korean Journal of Nephrology 1997;16(3):616-619.
향어 담낭 생식후 병발된 급성간염 및 급성신부전 1예
나기량 , 오선미 , 김종섭 , 빈기태 , 김성숙 , 이강욱 , 서광선 , 신영태
Abstract
Since 1976, several cases of acute renal failure and acute hepatitis after ingestion of raw carp bile have been reported. We experienced 1 case of acute renal failure and hepatitis after ingestion of the raw fish(Cyprinus carpio nudus) gall bladder. The patient ate raw fish gall bladder to improve the health. The size of the fish he ate was over 1 m and that of the gall bladder was about an egg size. The clinical rnanifestations were characterized by dizziness, headache, diffuse aMominal pain, both flank pain, nausea, vomiting and diarrhea. These symptoms were followed by gross hematuria, oliguria and jaundice. Elevation of blood urea nitrogen, creatinine, transaminases lasted for about 2 weeks. Biopsy of the kidney was performed 13 days after ingestion of raw fish gall bladder. The kidney pat- hology showed recovery phase of acute tubular necrosis. The patient recovered with conservative treatment.
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