Korean Journal of Nephrology 2000;19(5):972-976.

잉어 담낭 생식 후 병발된 횡문근융해증 및 급성신부전과 급성간염 1예 (A Case of Rhabdomyolysis , Acute Renal Failure , and Acute Hepatitis Due to Carp Bile Ingestion)

여동근(Dong Geun Yeo),박정기(Jung Gee Park),윤원찬(Won Chan Yoon),정의달(Eui Dal Jung),김학준(Hak Joon Kim),조선주(Sun Joo Jo),이인희(In Hee Lee),안기성(Gee Sung An),김용진(Yong Jin Kim)

Abstract

Sevral cases of acute renal failure and acute hepatitis after ingestion of raw carp gall bladder have been reported. We experienced for the first time 1 case of acute renal failure and acute hepatitis associated with rhabdomyolysis, which has not been seen in previous studies, after ingestion of the raw carp gall bladder. Serum creatine phosphokinase, myoglobin and urine myoglobin were increased and 99mTc-MDP bone scan showed diffusely increased uptake of isotope in soft tissue of whole body. The other laboratory data corresponded to acute tubular necrosis and acute toxic hepatitis. The kidney pathology showed the recovery phase of acute tubular necrosis. Etiologic factor for rhabdomyolysis was not found except carp gall bladder. We considered that carp gall bladder was etiologic factor for rhabdomyolysis and that rhabdomyolysis acted as agravatting factor for developing acute tubular necrosis due to carp bile toxicity in this case.