Possible Macrophage Activation Syndrome Caused by Endoscopic Retrograde Cholangiopancreatography for Bacteremia Due to Chronic Cholelithiasis

Hypoglycemia is caused by various clinical diseases. Among older patients, occult bacteremia may cause critical illness-related corticosteroid insufficiency (CIRCI), triggering hypoglycemia. Additionally, older patients have various chronic medical and homeostatic conditions. Interventions may be ne...

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Autores principales: Furuta, Hiroyuki, Tanaka, Yudai, Mishiro, Tsuyoshi, Sano, Chiaki, Ohta, Ryuichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Family/General Practice
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9711020/
https://www.ncbi.nlm.nih.gov/pubmed/36465726
http://dx.doi.org/10.7759/cureus.30932
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author Furuta, Hiroyuki
Tanaka, Yudai
Mishiro, Tsuyoshi
Sano, Chiaki
Ohta, Ryuichi
author_facet Furuta, Hiroyuki
Tanaka, Yudai
Mishiro, Tsuyoshi
Sano, Chiaki
Ohta, Ryuichi
author_sort Furuta, Hiroyuki
collection PubMed
description Hypoglycemia is caused by various clinical diseases. Among older patients, occult bacteremia may cause critical illness-related corticosteroid insufficiency (CIRCI), triggering hypoglycemia. Additionally, older patients have various chronic medical and homeostatic conditions. Interventions may be needed when chronic conditions cause clinical diseases and CIRCI. Herein, we report a case of possible macrophage activation syndrome (MAS) caused by endoscopic retrograde cholangiopancreatography for bacteremia due to chronic cholelithiasis in an 85-year-old man. Interventions for chronic conditions could impinge on homeostasis in older patients, causing acute conditions such as MAS. Among older frail patients with chronic conditions, interventions for chronic conditions should be discussed, including the triggering of other acute conditions, such as MAS.
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spelling pubmed-97110202022-12-01 Possible Macrophage Activation Syndrome Caused by Endoscopic Retrograde Cholangiopancreatography for Bacteremia Due to Chronic Cholelithiasis Furuta, Hiroyuki Tanaka, Yudai Mishiro, Tsuyoshi Sano, Chiaki Ohta, Ryuichi Cureus Family/General Practice Hypoglycemia is caused by various clinical diseases. Among older patients, occult bacteremia may cause critical illness-related corticosteroid insufficiency (CIRCI), triggering hypoglycemia. Additionally, older patients have various chronic medical and homeostatic conditions. Interventions may be needed when chronic conditions cause clinical diseases and CIRCI. Herein, we report a case of possible macrophage activation syndrome (MAS) caused by endoscopic retrograde cholangiopancreatography for bacteremia due to chronic cholelithiasis in an 85-year-old man. Interventions for chronic conditions could impinge on homeostasis in older patients, causing acute conditions such as MAS. Among older frail patients with chronic conditions, interventions for chronic conditions should be discussed, including the triggering of other acute conditions, such as MAS. Cureus 2022-10-31 /pmc/articles/PMC9711020/ /pubmed/36465726 http://dx.doi.org/10.7759/cureus.30932 Text en Copyright © 2022, Furuta et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Family/General Practice
Furuta, Hiroyuki
Tanaka, Yudai
Mishiro, Tsuyoshi
Sano, Chiaki
Ohta, Ryuichi
Possible Macrophage Activation Syndrome Caused by Endoscopic Retrograde Cholangiopancreatography for Bacteremia Due to Chronic Cholelithiasis
title Possible Macrophage Activation Syndrome Caused by Endoscopic Retrograde Cholangiopancreatography for Bacteremia Due to Chronic Cholelithiasis
title_full Possible Macrophage Activation Syndrome Caused by Endoscopic Retrograde Cholangiopancreatography for Bacteremia Due to Chronic Cholelithiasis
title_fullStr Possible Macrophage Activation Syndrome Caused by Endoscopic Retrograde Cholangiopancreatography for Bacteremia Due to Chronic Cholelithiasis
title_full_unstemmed Possible Macrophage Activation Syndrome Caused by Endoscopic Retrograde Cholangiopancreatography for Bacteremia Due to Chronic Cholelithiasis
title_short Possible Macrophage Activation Syndrome Caused by Endoscopic Retrograde Cholangiopancreatography for Bacteremia Due to Chronic Cholelithiasis
title_sort possible macrophage activation syndrome caused by endoscopic retrograde cholangiopancreatography for bacteremia due to chronic cholelithiasis
topic Family/General Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9711020/
https://www.ncbi.nlm.nih.gov/pubmed/36465726
http://dx.doi.org/10.7759/cureus.30932
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