Biliary pseudolithiasis

Biliary tract Biliary pseudolithiasis has been reported in three Chinese children with renal diseases, two with nephrotic syndrome and one with post-streptococcal glomerulonephritis with acute renal failure, who were given ceftriaxone [17 ]. 

In a randomized, single-blind, case-controlled study of ceftriaxone-associated biliary pseudolithiasis, 108 Chinese were randomized to ceftriaxone or ceftazidime for hepatobiliary infections or pneumonia [18 ]. Gallstones were detected in 43% of those who received ceftriaxone and 2% of those who received ceftazidime. Biliary precipitation appeared after 2-7 days. After withdrawal the symptoms resolved within 1-2 days. 

Tasic V, Sofijanova A, Avramoski V. Nephrolithiasis in a child with acute pyelonephritis. Ceftriaxone-induced nephrolithiasis and biliary pseudolithiasis. Pediatr Nephrol 2005 20(10) 1510-1, p. 1512-3. 

Biliary tract Biliary pseudolithiasis has been attributed to intravenous ceftriaxone in a 64-year-old man [65 ]. 

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