Yacaman-Handal R, Flores-Nava G, Escobedo-Chávez E, Pérez-Bernabé M M
Departamento de Pediatría, Hospital General Dr. Manuel Gea González, Calz de Tlalpan 4800 Col. Toriello Guerra Deleg, Tlalpan México DF, CP 14000.
Rev Gastroenterol Mex. 2000 Jan-Mar;65(1):30-3.
A case of child with acute pancreatitis associated with typhoid fever is reported herein.
A four years old child was admitted to the pediatric emergency room with an acute abdomen and fever. He was submitted to a diagnostic laparotomy and mesenteric adenitis was the only finding. During the postoperative period, he persisted with abdominal pain and fever. Laboratory studies and abdominal ultrasonography revealed an acute pancreatitis. Also, Salmonella typhi was isolated from blood and stool cultures. Treatment for pancreatitis included nasogastric catheter and total parenteral nutrition. Typhoid fever was treated with ampicillin. Thereafter, his clinical course was uneventful and he was discharged 13 days after being admitted.
Acute pancreatitis has been associated with typhoid fever. To the best of our knowledge, this is the youngest patient reported in the literature with this association. Possible pathophysiologic mechanisms are reviewed.
本文报告一例患急性胰腺炎合并伤寒热的儿童病例。
一名4岁儿童因急腹症和发热入住儿科急诊室。他接受了诊断性剖腹手术，唯一的发现是肠系膜淋巴结炎。术后期间，他持续腹痛和发热。实验室检查和腹部超声显示为急性胰腺炎。此外，血培养和粪便培养分离出伤寒杆菌。胰腺炎的治疗包括鼻胃管插管和全胃肠外营养。伤寒热用氨苄西林治疗。此后，他的临床过程平稳，入院13天后出院。
急性胰腺炎与伤寒热有关。据我们所知，这是文献中报道的患有这种关联的最年轻患者。本文对可能的病理生理机制进行了综述。
