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Complications of ceftriaxone-associated biliary pseudolithiasis and neprolithiasis: a case report
M C Sienra1, D Pereira Núñez1, H Pacheco1
1Pediatric Surgery Clinic Prof. Dr. C. Juambeltz, UDELAR Medicine School. Pediatric Hospital. Pereira Rossell Medical Complex. Montevideo, Uruguay.
Introduction:
Ceftriaxone is a wide-spectrum antibiotic frequently used in pediatrics. Biliary pseudolithiasis is a well-known side-effect occurring in 15-57% of cases. However, nephrolithiasis is extremely infrequent, with very few related publications.
Case Report:
We present the case of a 9-year-old patient with ceftriaxone-treated complicated acute appendicitis who developed biliary pseudolithiasis and nephrolithiasis. During hospitalization, the patient presented with pseudolithiasis complications such as mild pancreatitis and bilateral ureterohydronephrosis with acute renal failure.
Remarks:
Suspecting ceftriaxone-associated biliary pseudolithiasis and/or nephrolithiasis is key to achieve an early diagnosis and prevent complications such as those reported in this patient. Early discontinuation is essential as an initial treatment measure.
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