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一例罕见的登革热并发症急性胰腺炎病例。

A Rare Case of Acute Pancreatitis as Dengue Complication.

作者信息

Nguyen Tuy Hong Thi, Nguyen Hien Quang

机构信息

Tam Anh Hospital, Ho Chi Minh City, Vietnam.

University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam.

出版信息

Case Rep Infect Dis. 2023 Mar 6;2023:2619785. doi: 10.1155/2023/2619785. eCollection 2023.

Abstract

A 31-year-old male was admitted to the hospital because of fever for 2 days. He also had chills, headaches, muscle aches, fatigue, and diarrhea. His vital signs were stable. Dengue virus nonstructural protein 1 (NS1) antigen was positive. Laboratory tests were significant for thrombocytopenia of 67.000/mm and high hematocrit of 45%. On the fifth day of the onset of fever, he experienced sudden epigastric pain. Laboratory results showed elevated serum amylase and lipase. Noncontrast abdominal CT findings were consistent with acute pancreatitis, Balthazar grade D. The patient was managed with supportive care and bowel rest. Two days later, his condition became stable, and he was discharged without complications.

摘要

一名31岁男性因发热2天入院。他还伴有寒战、头痛、肌肉酸痛、乏力和腹泻。生命体征平稳。登革病毒非结构蛋白1(NS1)抗原呈阳性。实验室检查显示血小板减少至67000/mm,血细胞比容高达45%。发热第5天,他突然出现上腹部疼痛。实验室结果显示血清淀粉酶和脂肪酶升高。腹部非增强CT检查结果符合急性胰腺炎,巴尔萨泽分级为D级。患者接受了支持治疗和肠道休息。两天后,他的病情稳定,无并发症出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45d/10010886/ad85d312d857/CRIID2023-2619785.001.jpg

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