Fernández de la Puebla Giménez R A, Lechuga Varona T, Kindelan Jaquotot J M, Jurado Jiménez R, Delgado Blanco M, de Non-Louis y Persson E
Unidad de Enfermedades Infecciosas, Hospital Regional Universitario Reina, Sofía, Córdoba.
Med Clin (Barc). 1992 Mar 7;98(9):339-41.
A patient with the acquired immunodeficiency syndrome (AIDS) who developed acute pancreatitis (AP) during the course of a disseminated herpes zoster is presented. Diagnosis was based on the simultaneity of abdominal pain with hyperamylasemia, the dissemination of the cutaneous lesions and the positive varicella-zoster virus serology at titres 1/640. Response to acyclovir treatment was spectacular. To our knowledge this is the second case of AP produced by the varicella-zoster virus and the first described in the course of disseminated herpes zoster. We believe that the varicella-zoster virus should be included within the causes of AP in patients with the human immunodeficiency virus.
本文报告1例获得性免疫缺陷综合征(AIDS)患者,在播散性带状疱疹病程中并发急性胰腺炎(AP)。诊断依据为腹痛伴高淀粉酶血症、皮肤损害播散以及水痘-带状疱疹病毒血清学滴度为1/640阳性。阿昔洛韦治疗反应显著。据我们所知,这是水痘-带状疱疹病毒引起的AP的第二例,也是首例在播散性带状疱疹病程中描述的病例。我们认为,在人类免疫缺陷病毒感染患者中,水痘-带状疱疹病毒应被纳入AP的病因之中。