Pelucio M T, Rothenhaus T, Smith M, Ward D J
Department of Emergency Medicine, Ronald Reagan Institute of Emergency Medicine, George Washington University Medical Center, Washington, District of Columbia, USA.
J Emerg Med. 1995 Sep-Oct;13(5):633-7. doi: 10.1016/0736-4679(95)00068-l.
Acute pancreatitis in HIV-infected patients with or without AIDS has been reported with increasing frequency over the past several years. Drugs used to treat HIV-infected patients are often the cause. We report a case of a 46-year-old HIV-infected man who presented to the emergency department with abdominal pain and was diagnosed with acute pancreatitis. The patient had recently begun taking 2',3'-dideoxyinosine (ddI). He died shortly after admission to the hospital; CT scan and autopsy confirmed the cause of death as hemorrhagic pancreatitis. We briefly review the literature on the incidence and severity of pancreatitis in association with ddI and pentamidine therapy.
在过去几年中，有或没有艾滋病的HIV感染患者发生急性胰腺炎的报道越来越多。用于治疗HIV感染患者的药物常常是病因。我们报告一例46岁的HIV感染男性患者，他因腹痛就诊于急诊科，被诊断为急性胰腺炎。该患者最近开始服用2',3'-双脱氧肌苷（ddI）。他入院后不久死亡；CT扫描和尸检证实死亡原因是出血性胰腺炎。我们简要回顾了与ddI和喷他脒治疗相关的胰腺炎发病率和严重程度的文献。
