Cholangio-

Cholangiocytic cholangitis (cholangitis, bile fever, Botkin's disease) is inflammation of the intrahepatic bile ducts and gallbladder of various etiologies. Bile fever is characterized by a long course (possibly up to six months or more), high fever, weakness, weakness, sweating, loss of appetite, and can also lead to stool disorders. The causative agents can be bacterial, viral infections and autoimmune processes in the body. Botkin's disease is most common in children, especially in primary school age. In adults, the disease is rare, accounting for 0.5–1.0% among patients with viral hepatitis. The clinical picture can vary from mild to severe. The inflammation is transient, but in severe cases it can be chronic. More than a third of patients develop cirrhosis of the liver as a result of the disease, with a fatal outcome in 3–5% of cases. Also, the high mortality rate in young patients is due to the fact that the course of the disease may be accompanied by changes in biochemical parameters with dysfunction of the cardiovascular system. The success of treatment depends on the etiology, duration of the disease and timely treatment. The prognosis for acute bile fever is favorable. With treatment, the pain goes away. But in severe cases, complications are possible: hemorrhagic syndrome (bleeding as a result of the disease), secondary septic cholangitis or other purulent complications. Prevention of Botkin's disease is aimed at combating alcohol, limiting visits to questionable crowded places, and increasing immunity in people at risk (with a weakened immune system). To determine the severity of the disease, temperature, weakness, yellowness of the skin, pain in the area of ​​the gallbladder and biliary tract, a white or yellowish tint of the sclera, the presence of “spider veins” are characteristic, these are symptoms of the onset of cholestasis. You only need to seek help in a hospital, where specific diagnostics and treatment are prescribed. Indications for hospitalization: temperature above 38.5 degrees; the duration of bile fever is more than 2 months; complications in the form of septic cholangitis. Diagnosis begins with an external examination, medical history, and assessment of laboratory parameters. Serological testing plays an important role. An integral part of the diagnosis is taking samples from the inferior petrosal vein. Treatment consists of a strict diet and proper treatment, which may include antibiotics (for viral etiologies), drugs to detoxify the body, and many other groups of drugs, depending on the causes of the disease. It is necessary to consult a specialist and start treatment in a timely manner. disease indicates that the first one was not fully treated