急性戊型肝炎并发急性胰腺炎和多器官功能障碍。
Acute hepatitis E complicated by acute pancreatitis and multiorgan dysfunction.
作者信息
Karanth Suman S, Khan Zohaib, Rau Nileshwar Radhakrishna, Rao Karthik
机构信息
Department of Internal Medicine, Kasturba Medical College, Manipal, Karnataka, India.
出版信息
BMJ Case Rep. 2014 Jun 4;2014:bcr2014203875. doi: 10.1136/bcr-2014-203875.
Abstract
We report this rare case of a 27-year-old man who presented with acute hepatitis E and went on to develop acute epigastric pain. He was diagnosed to have acute severe pancreatitis with shock and acute renal failure due to hepatitis E. Such a phenomenon has rarely been reported in the literature, with patients following a benign course and complete recovery after conservative management and analgesia. Awareness of this potentially life-threatening complication, especially in young men from endemic areas with acute hepatitis E presenting with abdomen pain has been highlighted.
摘要
我们报告了这例罕见病例，一名27岁男性，最初表现为急性戊型肝炎，随后出现急性上腹部疼痛。他被诊断为急性重症胰腺炎，伴有休克和因戊型肝炎导致的急性肾衰竭。这种现象在文献中鲜有报道，患者经保守治疗和镇痛后病情呈良性发展并完全康复。本文强调了对这种潜在危及生命的并发症的认识，尤其是在戊型肝炎流行地区出现腹痛的年轻男性患者中。
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