Korean J Nephrol.  1997 Sep;16(3):616-619.

Acute Renal Failure and Hepatitis Due to Ingestion of Raw Fish Gall Bladder

Affiliations
  • 1Department of Internal Medicine, College of Medicine, Chungnam National University, Chungnam, Korea.
  • 2Department of Pathology, College of Medicine, Chungnam National University, Chungnam, Korea.

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 manifestations were characterized by dizziness, headache, diffuse abdominal 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 pathology showed recovery phase of acute tubular necrosis. The patient recovered with conservative treatment.

Keyword

Raw fish gall bladder; Cyprinus carpio nudus Acute tubular necrosis; Acute hepatitis

MeSH Terms

Abdominal Pain
Acute Kidney Injury*
Bile
Biopsy
Blood Urea Nitrogen
Carps
Creatinine
Diarrhea
Dizziness
Eating*
Flank Pain
Headache
Hematuria
Hepatitis*
Humans
Jaundice
Kidney
Nausea
Necrosis
Oliguria
Ovum
Pathology
Transaminases
Urinary Bladder*
Vomiting
Creatinine
Transaminases
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