Jusuf H, Sudjana P, Djumhana A, Abdurachman S A
Internal Medicine Department, Faculty of Medicine, Padjadjaran University, Hasan Sadikin General Hospital, Bandung, Indonesia.
Southeast Asian J Trop Med Public Health. 1998 Jun;29(2):367-9.
DHF is endemic in Indonesia, with incidence of 9.72/100,000 population and CFR of 2.5%. Acute pancreatitis is a rare complication in DHF, usually without hyperglycemia. We report here 1 patient of DHF grade II with complication of acute pancreatitis, and hyperglycemia which occured as a result of pancreatitis. A 24 years old female was referred from Santa Jusuf Hospital, with 5 days of fever and hematemesis. On physical examination we found slight fever and hematoma on her left leg. Laboratory examination revealed Hb 13.4 g%, WBC 8,500/mm3, Ht 42%, platelets 22,500/mm3, amylase 317 U/l, lipase 1,198 U/l and blood glucose 397 mg%. CT scan result of pancreas was consistent with acute pancreatitis. Diagnosis of dengue infection was made after the finding of positive IgM and IgG for dengue virus. After 18 days clinical symptoms and signs and laboratory results returned to normal.
登革出血热在印度尼西亚呈地方性流行，发病率为9.72/10万人口，病死率为2.5%。急性胰腺炎是登革出血热中一种罕见的并发症，通常无高血糖症。我们在此报告1例II级登革出血热患者，并发急性胰腺炎且因胰腺炎出现了高血糖症。一名24岁女性从圣尤素夫医院转诊而来，有5天发热和呕血症状。体格检查发现她左腿有低热和血肿。实验室检查显示血红蛋白13.4 g%，白细胞8500/mm³，血细胞比容42%，血小板22500/mm³，淀粉酶317 U/l，脂肪酶1198 U/l，血糖397 mg%。胰腺CT扫描结果符合急性胰腺炎。在检测到登革病毒IgM和IgG呈阳性后，做出了登革感染的诊断。18天后临床症状、体征及实验室检查结果恢复正常。
