Sánchez Muñoz L A, Ferrero Beneitez O L, Pérez Boillos M J, Muñoz Sánchez J, Teira Cobo R, Baraia-Etxaburu J, Zubero Sulibarría Z, Santamaría Jáuregui J M
Sección de Enfermedades Infecciosas, Hospital de Basurto, Bilbao, Vizcaya.
Rev Clin Esp. 1998 Mar;198(3):133-9.
Retrospective study of the etiology and evolution of 40 episodes of acute pancreatitis in 28 patients infected with the human immunodeficiency virus (HIV).
AIDS criteria were met by 89.3% of patients. The likely etiology was an opportunist infection in 32.5% of episodes, drug use in 22.5%, and biliary lithiasis in 5%. AP secondary to AIDS-associated cholangitis occurred in 35.7% of episodes. Sixty percent of episodes were severe in nature. The mortality rate reached 30%.
AP in HIV infected patients: a) is more frequent in the advanced stages of disease; b) opportunistic infections and drugs are the most frequent causes in our environment; c) in a third of patients it is probably secondary to AIDS associated cholangitis; d) biliary lithiasis seems to be less common than in the general population, and e) it is associated with a high severity and mortality.
对28例感染人类免疫缺陷病毒（HIV）的患者中40次急性胰腺炎发作的病因及演变进行回顾性研究。
89.3%的患者符合艾滋病标准。可能的病因是32.5%的发作由机会性感染引起，22.5%由药物使用引起，5%由胆石症引起。35.7%的发作是继发于艾滋病相关胆管炎的急性胰腺炎。60%的发作本质上是严重的。死亡率达到30%。
HIV感染患者的急性胰腺炎：a）在疾病晚期更常见；b）在我们的研究环境中，机会性感染和药物是最常见的病因；c）三分之一的患者可能继发于艾滋病相关胆管炎；d）胆石症似乎比普通人群中少见，且e）与高严重程度和死亡率相关。
