A Rare Cause of Acute Hepatopancreatitis in a Nepalese Teen

Autor:	Sanjay Raj Thapa, Ashish Lal Shrestha, Amrit Ghimire, Swastika Adhikari
Rok vydání:	2018
Předmět:	Pediatrics medicine.medical_specialty medicine.diagnostic_test Emergency unit business.industry lcsh:RJ1-570 Case Report lcsh:Pediatrics General Medicine Jaundice Salmonella typhi medicine.disease 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Acute pancreatitis 030211 gastroenterology & hepatology Blood culture Presentation (obstetrics) medicine.symptom Liver function tests business Acute hepatitis
Zdroj:	Case Reports in Pediatrics, Vol 2018 (2018) Case Reports in Pediatrics
ISSN:	2090-6811 2090-6803
DOI:	10.1155/2018/8456503
Popis:	Background. Acute pancreatitis (AP) coexisting with acute hepatitis (AH) in children is uncommon. Moreover, a single bacterial cause explaining both the complications is even rarer. Despite familiarity with the usual presentation of enteric fever, atypical presentations can go unnoticed. Case Presentation. A 16-year-old previously healthy male presented to the emergency unit with recurrent swinging pyrexia, abdominal symptoms, and jaundice for a week. Blood work-up revealed deranged liver function tests (LFTs) and elevated pancreatic enzymes. Further assessment with imaging made a diagnosis of AH and AP without necrosis. Blood culture positivity for Salmonella typhi eventually confirmed the diagnosis. Conclusion. This is an uncommon presentation of an infection that is fairly common in our part of globe. Nevertheless, early suspicion and recognition is the key to timely management. Regular follow-ups are required to pick complications up early.
Databáze:	OpenAIRE
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