A Rare Cause of Acute Hepatopancreatitis in a Nepalese Teen

Autor: Swastika Adhikari, Ashish Lal Shrestha, Sanjay Raj Thapa, Amrit Ghimire
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Case Reports in Pediatrics, Vol 2018 (2018)
Druh dokumentu: article
ISSN: 2090-6803
2090-6811
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: Directory of Open Access Journals
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje