Anderson Kara, Shehata Mena, Singh Davinder, Al-Ourani Mohammed
Internal Medicine, Marshall University Joan C. Edwards School of Medicine, Huntington, USA.
Pulmonary and Critical Care, Marshall University Joan C. Edwards School of Medicine, Huntington, USA.
Cureus. 2020 Sep 7;12(9):e10299. doi: 10.7759/cureus.10299.
While alcohol and gallstones have been considered the most common causes of pancreatitis, we investigate two uncommon etiologies such as drug-induced and viral-induced. Pancreatitis, an inflammatory process, can lead to many complicated outcomes such as acute respiratory failure, sepsis, and death. Examining drug-induced pancreatitis poses a large challenge for physicians as majority of the data is extrapolated from case reports. This is made even more difficult for patients who are on large chemotherapeutic regimens which include multitude of drugs and various side effects. Besides patient medication regimens, other etiologies of pancreatitis must be ruled out such as viruses. We examine a case of a 48-year-old female undergoing treatment for diffuse large B-cell lymphoma with various chemotherapeutic agents and positive cultures for varicella zoster virus (VZV) presenting with diffuse epigastric abdominal pain.
虽然酒精和胆结石一直被认为是胰腺炎最常见的病因，但我们研究了两种不常见的病因，如药物性和病毒性。胰腺炎是一种炎症过程，可导致许多复杂的后果，如急性呼吸衰竭、败血症和死亡。对于医生来说，检查药物性胰腺炎是一项巨大的挑战，因为大多数数据是从病例报告中推断出来的。对于正在接受大型化疗方案（包括多种药物和各种副作用）的患者来说，这就更加困难了。除了患者的用药方案外，还必须排除胰腺炎的其他病因，如病毒。我们检查了一例48岁女性，她正在接受各种化疗药物治疗弥漫性大B细胞淋巴瘤，水痘带状疱疹病毒（VZV）培养呈阳性，表现为弥漫性上腹部腹痛。
