急性胰腺炎：一名青少年急性HIV感染的表现。
Acute pancreatitis: Manifestation of acute HIV infection in an adolescent.
作者信息
Bitar Anas, Altaf Muhammad, Sferra Thomas J
机构信息
Department of Pediatrics, Section of Gastroenterology and Nutrition, University of Oklahoma Health Science Center, Oklahoma City, OK, U.S.A.
出版信息
Am J Case Rep. 2012;13:17-8. doi: 10.12659/AJCR.882323. Epub 2012 Jan 20.
BACKGROUND
Pancreatitis in the pediatric age group is not as common as in adults. Etiologies are various and differ from those in adults. Although infectious etiology accounts for a significant number of cases of pancreatitis, acute infection with Human Immunodeficiency Virus (HIV) was rarely reported as a possible etiology for acute pancreatitis in adults. Acute pancreatitis has never been reported as a presenting manifestation of acute HIV infection in children.
CASE REPORT
We describe a pediatric patient who presented with acute pancreatitis that revealed acute HIV infection.
CONCLUSIONS
Acute pancreatitis as a primary manifestation of HIV infection is very rare. It may represent an uncommon aspect of primary HIV infection. We suggest that acute HIV infection should be considered in the differential diagnosis of acute pancreatitis at all ages.
背景
小儿胰腺炎不如成人常见。病因多种多样，与成人不同。尽管感染性病因占胰腺炎病例的很大一部分，但成人急性胰腺炎很少有报告称人类免疫缺陷病毒（HIV）急性感染是其可能病因。急性胰腺炎从未被报告为儿童急性HIV感染的首发表现。
病例报告
我们描述了一名以急性胰腺炎为表现且确诊为急性HIV感染的儿科患者。
结论
急性胰腺炎作为HIV感染的主要表现非常罕见。它可能是原发性HIV感染的一个不常见方面。我们建议在各年龄段急性胰腺炎的鉴别诊断中都应考虑急性HIV感染。
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