Discover and read the best of Twitter Threads about #pseudocholelithiasis
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#idboardreview 17 M w/hx of meningitis s/p course of iv ceftriaxone. Now 2 wks later present with fever, RUQ abd pain. Ultrasound: gallstones that disappeared on repeat imaging in 2 weeks. dx? #idtwitter #idmeded #meded 
#Ceftriaxone-associated #pseudocholelithiasis Ceftriaxone, excreted & concentrated in gallbladder bile, can form a precipitate, ceftriaxone–calcium salt, which may cause biliary sludge formation rarely in pts who receive high-dose treatment (≥2 g)
incidence around 20%. #ceftriaxone induced #pseudocholelithiasis occurs within 4–17 days of administration & generally disappear by 10–26 days after ceftriaxone discontinuation 10.1016/s0140-6736(89)90228-6
