One Case of Acute Renal Failure with Toxic Hepatitis Caused by Bile Juice of Cyprinus Carpionudus

향어 담즙섭취에 의한 급성신부전증 1예

The toxic effect of carp bile is well documented since earlier times but its exect mechanism of toxicity is unclear till now. Recently we have experienced a case of acute fenal failure with toxic hepatitis in a 32-year -old man who ingested raw carp bile. He suffered from abdominal pain, nausea, vomiting and diarrhea, which occured 3 hours after the ingestion of raw carp bile Juice, Hematuria, proteinuria, oliguria and Jaundice developed subsequently. 9 times of hemodialyses was performed and hepatitis was treated by conservative measure. The patient was discharged after 17 days of hospitalization. About 1 month after carp bile ingestion, no sequelae was detected. The authors report a case of acute renal failure due to carp bile juice ingestion With review of literature. Further study is needed as to the toxic substances of carp bile and pathogenesis.

저자들은 1987년 5월 21일부터 6월 6일까지 잉어의 변종인 향어의 담낭 및 답즙을 생식한 후 발생한 급성간염이 동반된 급성신부전 1예를 치험하였기에 보고하는 바이다.