alcoholic hepatitis acute kidney injury gastrointestinal bleeding rhabdomyolysis liver failure endoscopic hemostasis creatine kinase

We report a rare case of severe alcoholic hepatitis complicated by acute kidney injury, upper gastrointestinal tract bleeding, and rhabdomyolysis in a patient with heavy alcohol consumption. A 74-year-old man with heavy alcohol consumption was admitted to our hospital due to general fatigue and jaundice. The serological findings indicated liver and renal failure, anemia, and elevated muscle enzyme level (creatine kinase, 4,865 U/L). The upper gastrointestinal tract endoscopy revealed a hemorrhagic gastric ulcer that was treated with an endoscopic hemostatic technique. He was then diagnosed as having severe alcoholic hepatitis with acute kidney injury, upper gastrointestinal tract bleeding, and rhabdomyolysis. He died within 36 h after admission and corticosteroids were not administered. In conclusion, our patient had an early death mainly due to complications, such as AKI, and severity of the underlying liver disease.

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