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登革热胰腺炎合并酮症酸中毒——地方病中的罕见表现

Dengue pancreatitis with ketoacidosis-a rare manifestation in Endemicity.

作者信息

Das Kalyan Kumar, Basu Rajdeep

机构信息

Department of General Medicine, Siliguri District Hospital, Ward 17, Hakim Para, Siliguri, Darjeeling, West Bengal 734001, India.

Department of Endocrinology, Nil Ratan Sircar Medical College and Hospital, 138, Acharya Jagdish Chandra Bose Road, Sealdah, Raja Bazar, Kolkata, West Bengal 700014, India.

出版信息

Oxf Med Case Reports. 2024 Dec 10;2024(12):omae148. doi: 10.1093/omcr/omae148. eCollection 2024 Dec.

DOI:10.1093/omcr/omae148
PMID:39664920
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11631213/
Abstract

Dengue may begin as a straightforward fever episode with or without rash also it may affect some organs and cause serious symptoms. Although it is uncommon, severe abdominal discomfort has been a concerning indicator of acute pancreatitis. We report on a male patient, age 26, who first presented with fever, vomiting, and stomach pain. Later, he developed severe pancreatitis. When an acute viral infection causes pancreatitis, ketoacidosis can occur without hyperglycemia. We emphasize that in dengue patients reporting stomach pain, it is important to rule out acute pancreatitis (AP), an uncommon but serious impediment in the course of treatment.

摘要

登革热可能起初表现为单纯的发热，伴有或不伴有皮疹，也可能影响某些器官并引发严重症状。虽然并不常见，但严重的腹部不适一直是急性胰腺炎的一个令人担忧的指标。我们报告一例26岁男性患者，最初表现为发热、呕吐和胃痛。后来，他发展为重症胰腺炎。当急性病毒感染导致胰腺炎时，可出现无高血糖的酮症酸中毒。我们强调，对于报告有胃痛的登革热患者，排除急性胰腺炎（AP）很重要，这在治疗过程中虽不常见但却是严重的障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/889e/11631213/dba052b8ede9/omae148f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/889e/11631213/dba052b8ede9/omae148f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/889e/11631213/dba052b8ede9/omae148f1.jpg

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本文引用的文献

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正常血糖性糖尿病酮症酸中毒：综述
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J Formos Med Assoc. 2004 Nov;103(11):865-8.
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