Cargando…

A Rare Cause of Acute Hepatopancreatitis in a Nepalese Teen

BACKGROUND: Acute pancreatitis (AP) coexisting with acute hepatitis (AH) in children is uncommon. Moreover, a single bacterial cause explaining both the complications is even rarer. Despite familiarity with the usual presentation of enteric fever, atypical presentations can go unnoticed. CASE PRESEN...

Descripción completa

Detalles Bibliográficos
Autores principales: Adhikari, Swastika, Shrestha, Ashish Lal, Thapa, Sanjay Raj, Ghimire, Amrit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280230/
https://www.ncbi.nlm.nih.gov/pubmed/30584487
http://dx.doi.org/10.1155/2018/8456503
Descripción
Sumario:BACKGROUND: Acute pancreatitis (AP) coexisting with acute hepatitis (AH) in children is uncommon. Moreover, a single bacterial cause explaining both the complications is even rarer. Despite familiarity with the usual presentation of enteric fever, atypical presentations can go unnoticed. CASE PRESENTATION: A 16-year-old previously healthy male presented to the emergency unit with recurrent swinging pyrexia, abdominal symptoms, and jaundice for a week. Blood work-up revealed deranged liver function tests (LFTs) and elevated pancreatic enzymes. Further assessment with imaging made a diagnosis of AH and AP without necrosis. Blood culture positivity for Salmonella typhi eventually confirmed the diagnosis. CONCLUSION: This is an uncommon presentation of an infection that is fairly common in our part of globe. Nevertheless, early suspicion and recognition is the key to timely management. Regular follow-ups are required to pick complications up early.