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A Case of Acute Pancreatitis: An Unusual Manifestation of Acute Q Fever
Acute pancreatitis is a sudden inflammation affecting the exocrine region of the pancreatic parenchyma. Infectious etiologies are rare. Here we report an exceptional case of a 44-year-old woman from a rural area who was referred to our hospital with fever and abdominal pain. A physical examination r...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Korean Academy of Family Medicine
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10232328/ https://www.ncbi.nlm.nih.gov/pubmed/37225443 http://dx.doi.org/10.4082/kjfm.22.0041 |
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author | Arfa, Sondess Bougossa, Rebeh Brahem, Mouna Bannour, Ichrak Chelli, Jihene Berriche, Olfa |
author_facet | Arfa, Sondess Bougossa, Rebeh Brahem, Mouna Bannour, Ichrak Chelli, Jihene Berriche, Olfa |
author_sort | Arfa, Sondess |
collection | PubMed |
description | Acute pancreatitis is a sudden inflammation affecting the exocrine region of the pancreatic parenchyma. Infectious etiologies are rare. Here we report an exceptional case of a 44-year-old woman from a rural area who was referred to our hospital with fever and abdominal pain. A physical examination revealed pale skin and epigastric tenderness. Thoracoabdominal computed tomography revealed a Balthazar score of D. Serum laboratory findings revealed hemolytic anemia, hepatic cytolysis, and high C-reactive protein level. Calcium and lipase levels were normal. There was no history of recent trauma, alcohol consumption, or drug intoxication. The diagnosis of “query” pancreatitis was confirmed by serological Coxiella burnetii positivity. Oral doxycycline 200 mg daily was initiated. The clinical evolution was favorable. To our knowledge, no association between acute pancreatitis and hemolytic anemia caused by C. burnetii was reported previously. Q fever must be considered in cases of acute pancreatitis, especially when the patient is from a rural area or has a high-risk profession. |
format | Online Article Text |
id | pubmed-10232328 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Korean Academy of Family Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-102323282023-06-02 A Case of Acute Pancreatitis: An Unusual Manifestation of Acute Q Fever Arfa, Sondess Bougossa, Rebeh Brahem, Mouna Bannour, Ichrak Chelli, Jihene Berriche, Olfa Korean J Fam Med Case Report Acute pancreatitis is a sudden inflammation affecting the exocrine region of the pancreatic parenchyma. Infectious etiologies are rare. Here we report an exceptional case of a 44-year-old woman from a rural area who was referred to our hospital with fever and abdominal pain. A physical examination revealed pale skin and epigastric tenderness. Thoracoabdominal computed tomography revealed a Balthazar score of D. Serum laboratory findings revealed hemolytic anemia, hepatic cytolysis, and high C-reactive protein level. Calcium and lipase levels were normal. There was no history of recent trauma, alcohol consumption, or drug intoxication. The diagnosis of “query” pancreatitis was confirmed by serological Coxiella burnetii positivity. Oral doxycycline 200 mg daily was initiated. The clinical evolution was favorable. To our knowledge, no association between acute pancreatitis and hemolytic anemia caused by C. burnetii was reported previously. Q fever must be considered in cases of acute pancreatitis, especially when the patient is from a rural area or has a high-risk profession. Korean Academy of Family Medicine 2023-05 2023-05-20 /pmc/articles/PMC10232328/ /pubmed/37225443 http://dx.doi.org/10.4082/kjfm.22.0041 Text en Copyright © 2023 The Korean Academy of Family Medicine https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Arfa, Sondess Bougossa, Rebeh Brahem, Mouna Bannour, Ichrak Chelli, Jihene Berriche, Olfa A Case of Acute Pancreatitis: An Unusual Manifestation of Acute Q Fever |
title | A Case of Acute Pancreatitis: An Unusual Manifestation of Acute Q Fever |
title_full | A Case of Acute Pancreatitis: An Unusual Manifestation of Acute Q Fever |
title_fullStr | A Case of Acute Pancreatitis: An Unusual Manifestation of Acute Q Fever |
title_full_unstemmed | A Case of Acute Pancreatitis: An Unusual Manifestation of Acute Q Fever |
title_short | A Case of Acute Pancreatitis: An Unusual Manifestation of Acute Q Fever |
title_sort | case of acute pancreatitis: an unusual manifestation of acute q fever |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10232328/ https://www.ncbi.nlm.nih.gov/pubmed/37225443 http://dx.doi.org/10.4082/kjfm.22.0041 |
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