Avalos Cesar, Estifan Elias, Swyden Shelbi, Yuridullah Ruhin
Internal Medicine, St. Joseph's University Medical Center, Paterson, USA.
Internal Medicine, St. George's University, True Blue, GRD.
Cureus. 2020 Feb 21;12(2):e7067. doi: 10.7759/cureus.7067.
Although most cases of acute pancreatitis are attributed to alcohol and gallstones, acute pancreatitis can be a presenting feature or complication of a viral etiology (influenza). We report a rare case of acute pancreatitis secondary to H1N1 influenza A virus in the setting of chronic lymphocytic leukemia. The typical flu-like respiratory illness usually observed with influenza was absent preceding the episode of pancreatitis owing to the different antigenic properties of influenza A (compared to influenza B) and an underlying immunocompromised state.
尽管大多数急性胰腺炎病例归因于酒精和胆结石，但急性胰腺炎可能是病毒病因（流感）的表现特征或并发症。我们报告了一例在慢性淋巴细胞白血病背景下继发于甲型H1N1流感病毒的急性胰腺炎罕见病例。由于甲型流感（与乙型流感相比）的抗原特性不同以及潜在的免疫功能低下状态，在胰腺炎发作之前通常观察到的典型流感样呼吸道疾病并不存在。
