Parri Niccolò, Innocenti Letizia, Collini Silvia, Bechi Francesca, Mannelli Francesco
Emergency Department, Anna Meyer Pediatric Hospital, Viale Pieraccini 24, 50132 Florence, Italy.
Pediatr Emerg Care. 2010 Aug;26(8):592-3. doi: 10.1097/PEC.0b013e3181ea72a8.
Serum amylase can be elevated in various pathological conditions, but its primary application is as a biochemical test for the diagnosis of acute pancreatitis. Acute gastroenteritis has not been widely recognized as a cause for hyperamylasemia and pancreatitis.
We describe a case of acute pancreatitis after rotavirus gastroenteritis occurring in a previously healthy child.
Rotavirus infection was demonstrated by detection of virus particles in stool culture and pancreatitis by raised serum amylase and lipase levels. No abnormalities were noticed during clinical follow-up.
Further investigation to understand the role of rotavirus as a cause of pancreatitis in children may be helpful.
血清淀粉酶在多种病理状况下均可升高,但其主要用途是作为诊断急性胰腺炎的生化检测指标。急性肠胃炎尚未被广泛认为是高淀粉酶血症和胰腺炎的病因。
我们描述了一例先前健康的儿童在轮状病毒肠胃炎后发生急性胰腺炎的病例。
通过粪便培养检测到病毒颗粒证实为轮状病毒感染,血清淀粉酶和脂肪酶水平升高证实为胰腺炎。临床随访期间未发现异常。
进一步研究以了解轮状病毒作为儿童胰腺炎病因的作用可能会有所帮助。