Suarez Laura Suzanne K, Simms Larnelle N, Deeb Khaled, Scott Curtis E
University of Miami Palm Beach Regional GME Consortium, Atlantis, FL, USA.
West Palm Beach VA Medical Center, West Palm Beach, FL, USA.
SAGE Open Med Case Rep. 2021 Jul 28;9:2050313X211035573. doi: 10.1177/2050313X211035573. eCollection 2021.
Recurrent pyogenic cholangitis (RPC) is a condition found almost exclusively in individuals who lived in Southeast Asia. We report a case of a Caucasian veteran diagnosed with RPC after presenting with a 5-year history of recurrent fevers and abdominal pain 20 years after serving in Japan, South Korea, and Guam. Extensive evaluation led to the diagnosis of RPC with improvement after biliary decompression and antibiotics. Although rare, RPC should be considered in individuals who present with recurrent bouts of abdominal pain and fevers regardless of race.
复发性化脓性胆管炎（RPC）几乎仅见于生活在东南亚的人群。我们报告一例白人退伍军人病例，该患者在日本、韩国和关岛服役20年后出现反复发热和腹痛5年，随后被诊断为RPC。经过全面评估后诊断为RPC，经胆道减压和使用抗生素后病情有所改善。尽管罕见，但对于出现反复腹痛和发热的患者，无论其种族如何，都应考虑RPC的可能。
