Buber Jonathan, Fink Noam, Bin Hanna, Mouallem Meir
Department of Medicine E, Sheba Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Hashomer 52621, Israel.
Travel Med Infect Dis. 2008 Nov;6(6):373-5. doi: 10.1016/j.tmaid.2008.08.001. Epub 2008 Sep 21.
West Nile Virus (WNV) infection is a fairly common infection in Israel, especially during the summer season. Common manifestations are fever, headaches, malaise and myalgia. Pancreatitis had been described only twice previously as a complication of WNV infection in the medical literature. In this report, an 88-year-old patient is described, who was admitted to hospital with fever, confusion and general deterioration in her condition, accompanied by severe abdominal pain. WNV infection was diagnosed by a lumbar puncture and serological tests. The laboratory results demonstrated elevated amylase and lipase levels. The patient was treated conservatively and the symptoms regressed slowly until full recovery. WNV infection and its complications are described, along with descriptions of previous reports of pancreatitis associated with WNV infection.
西尼罗河病毒(WNV)感染在以色列相当常见,尤其是在夏季。常见表现为发热、头痛、不适和肌痛。胰腺炎此前在医学文献中仅被描述为WNV感染的并发症两次。在本报告中,描述了一名88岁的患者,她因发热、意识模糊和病情总体恶化入院,伴有严重腹痛。通过腰椎穿刺和血清学检测诊断为WNV感染。实验室结果显示淀粉酶和脂肪酶水平升高。患者接受了保守治疗,症状逐渐消退直至完全康复。本文描述了WNV感染及其并发症,以及此前与WNV感染相关的胰腺炎报告。