Rapid formation of large pseudostones and acute cholangitis caused by ceftriaxone treatment for bacterial pneumonia in a patient on kidney transplantation: potential risk of ceftriaxone use in patients with decreased kidney function

  • Shunsuke Yamada
  • Manako Takesako
  • Toshiaki NakanoEmail author
  • Kazuhiko Tsuruya
  • Takanari Kitazono
Letter to the Editor


Compliance with ethical standards

Conflict of interest

The authors declare that no conflict of interest exists.

Human and animal rights

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional review board and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

A written informed consent for submitting this case report to medical journals was obtained by the patient.


  1. 1.
    Schaad UB, Tschäppeler H, Lentze MJ. Transient formation of precipitations in the gallbladder associated with ceftriaxone therapy. Pediatr Infect Dis. 1986;5:708–10.CrossRefGoogle Scholar
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    Imafuku A, Sawa N, Sekine A, et al. Risk factors of ceftriaxone-associated biliary pseudolithiasis in adults: influence of renal dysfunction. Clin Exp Nephrol. 2018;22:613–9.CrossRefGoogle Scholar

Copyright information

© Japanese Society of Nephrology 2019

Authors and Affiliations

  1. 1.Department of Medicine and Clinical Science, Graduate School of Medical SciencesKyushu UniversityFukuokaJapan
  2. 2.Department of NephrologyNara Medical UniversityNaraJapan

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