Lal S M, Fowler D, Losasso C J, Berg G G
Department of Medicine and Radiology, University of Missouri, Health Sciences Center, Columbia 65212.
Am J Kidney Dis. 1988 May;11(5):434-6. doi: 10.1016/s0272-6386(88)80058-1.
This report describes a patient on continuous ambulatory peritoneal dialysis (CAPD) who developed acute pancreatitis with pseudocyst formation and cloudy dialysate with pleocytosis in the absence of bacterial or fungal organisms. To our knowledge, pancreatitis, in the absence of hypertriglyceridemia in a CAPD patient, has not been previously reported. There was a significant increase in Coxsackie B1 and B6 viral titers by complement fixation test, suggesting Coxsackie virus-induced pancreatitis.
本报告描述了一名持续非卧床腹膜透析(CAPD)患者,该患者在无细菌或真菌病原体的情况下发生了急性胰腺炎并伴有假性囊肿形成,以及透析液浑浊且有白细胞增多。据我们所知,此前尚未报道过CAPD患者在无高甘油三酯血症的情况下发生胰腺炎。通过补体结合试验发现柯萨奇B1和B6病毒滴度显著升高,提示为柯萨奇病毒诱发的胰腺炎。