Sun Hong, Wang Wei-Qun, Lin Long, Shao Zheng-Yang, Zhan Lu, Tang Lan-Fang
Department of Pediatrics, Zhejiang Hospital of Integrated Traditional Chinese and Western Medicine, Hangzhou, Zhejiang, China.
Department of Pulmonology, Children's Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Front Pediatr. 2024 Sep 4;12:1416189. doi: 10.3389/fped.2024.1416189. eCollection 2024.
is the primary pathogen causing community-acquired pneumonia in children, accounting for approximately 10%-40% of cases. It can lead to various extrapulmonary complications, including acute pancreatitis, which has been reported in approximately 30 cases to date. Here, we report a 4-year-old girl who presented with fever, cough, and elevated levels of IgM antibodies, followed by the onset of abdominal pain, elevated lipase, and elevated blood and urine amylase. Abdominal CT implied diffuse inflammation of the pancreas. Serum inflammatory cytokines, such as interleukin (IL)-2, IL-6, IL-17A, tumor necrosis factor, and interferon-gamma, were elevated. After excluding other causes, it was determined that infection was the cause of her acute pancreatitis. She was treated with macrolides and glucocorticoids and ultimately made a full recovery. Therefore, acute pancreatitis should be included in the differential diagnosis for patients with infection who present with abdominal pain. Inflammatory cytokines may play a role in mediating pancreatic damage.
是引起儿童社区获得性肺炎的主要病原体,约占病例的10%-40%。它可导致各种肺外并发症,包括急性胰腺炎,迄今为止约有30例相关报道。在此,我们报告一名4岁女孩,她出现发热、咳嗽和IgM抗体水平升高,随后出现腹痛、脂肪酶升高以及血淀粉酶和尿淀粉酶升高。腹部CT提示胰腺弥漫性炎症。血清炎性细胞因子,如白细胞介素(IL)-2、IL-6、IL-17A、肿瘤坏死因子和干扰素-γ升高。排除其他原因后,确定感染是其急性胰腺炎的病因。她接受了大环内酯类药物和糖皮质激素治疗,最终完全康复。因此,对于出现腹痛的感染患者,急性胰腺炎应列入鉴别诊断。炎性细胞因子可能在介导胰腺损伤中起作用。