A retrospective study of acute pancreatitis in patients with hemorrhagic fever with renal syndrome

BMC Gastroenterology

Nong-Hua Lu¹  Hao Zeng¹  Pi Liu¹  Yong Zhu¹  You-Xiang Chen¹  Yin Zhu¹ 

[1] Department of Gastroenterology, The First Affiliated Hospital of NanChang University, Nanchang, Jiangxi 330006, People’s Republic of China

关键词: Hemorrhagic fever with renal syndrome;    Acute pancreatitis;    Etiology;   

Others  :  856820
DOI  :  10.1186/1471-230X-13-171

 received in 2013-03-31, accepted in 2013-12-06,  发布年份 2013

【 摘 要 】

Background

Etiological diagnosis is an important part of the diagnosis and treatment of acute pancreatitis. Hantavirus infection is a rare cause of acute pancreatitis, which is easy to ignore. There is a need to analyze clinical features of acute pancreatitis caused by Hantavirus.

Methods

This is a retrospective study conducted from May 1, 2006 to May 31, 2012 on patients diagnosed with hemorrhagic fever with renal syndrome at our hospital. We reviewed these patients medical records, laboratory results and radiologic examinations to determine the prevalence and summarize clinical features of acute pancreatitis in patients with hemorrhagic fever with renal syndrome.

Results

A total of 218 patients were diagnosed with hemorrhagic fever with renal syndrome during the 6-year study period. Only 2.8% (6/218) of the total hemorrhagic fever with renal syndrome patients were diagnosed with acute pancreatitis. The first symptom for all six of the patients with acute pancreatitis was fever. All six patients experienced hemorrhage and thrombocytopenia during the disease course, which was different from general acute pancreatitis. In addition, we presented two misdiagnosed clinical cases.

Conclusions

Acute pancreatitis is not a frequent complication in patients with hemorrhagic fever with renal syndrome. Clinicians should be alerted to the possibility of hemorrhagic fever with renal syndrome when acute pancreatitis patients with epidemiological data have high fever before abdominal pain.

【 授权许可】

   
2013 Zhu et al.; licensee BioMed Central Ltd.

【 图 表 】

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