An unusual cause of pancreatitis in a 46-year-old returning traveller
Autor: | Dominic Pimenta, Naghum Dawood |
---|---|
Rok vydání: | 2015 |
Předmět: |
Male
medicine.medical_specialty Epigastric pain Article Ascariasis medicine Animals Humans Pakistan Developing Countries Travel biology business.industry Ascaris General Medicine Middle Aged medicine.disease biology.organism_classification Surgery C-Reactive Protein Pancreatitis Acute Disease Amylases Vomiting medicine.symptom Tomography X-Ray Computed business Complication Rare disease Sudden onset |
Zdroj: | BMJ Case Reports. :bcr2015210517 |
ISSN: | 1757-790X |
DOI: | 10.1136/bcr-2015-210517 |
Popis: | A 46-year-old previously fit and well man, travelled to Jhelum, Pakistan for 6 weeks in early 2015. Four weeks after returning to the UK, he developed sudden onset epigastric pain, vomiting and fever. C reactive protein was 232 mg/L and amylase was 2061 U/L. He was treated conservatively as pancreatitis, with peripancreatic streaking and left colic gutter fluid on a CT abdominal scan. He was discharged and later attended the Hospital for Tropical Diseases, after coughing up an 8 cm male ascaris worm. He was treated for acute ascariasis infection, complicated by resolved mild-moderate pancreatitis, a common complication in the developing world but rarely seen among travellers. |
Databáze: | OpenAIRE |
Externí odkaz: |