A case of Korean hemorrhagic fever with acute pancreatitis.
- Author:
Esther KIM
1
;
Ji Han PARK
;
So Yeon OH
;
Il CHOI
;
Ji Hyun LEE
;
Sung Kwan HONG
Author Information
1. Department of Internal Medicine, College of Medicine, Pochon CHA University, Kyoungki, Korea. skhong@cha.ac.kr
- Publication Type:Case Report
- Keywords:
Hemorrhagic fever with renal syndrome;
Acute pancreatitis
- MeSH:
Abdominal Pain;
Amylases;
Anemia;
Atrioventricular Block;
Edema;
Fever;
Headache;
Hemorrhage;
Hemorrhagic Fever with Renal Syndrome*;
Humans;
Hypertension;
Hypopituitarism;
Kidney;
Lipase;
Myocarditis;
Pancreas;
Pancreatitis*;
Pulmonary Edema;
Renal Insufficiency;
Retroperitoneal Space;
Tomography, X-Ray Computed;
Ultrasonography;
Vomiting
- From:Korean Journal of Medicine
2003;65(Suppl 3):S898-S901
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The Korean hemorrhagic fever is an acute febrile disease, which characteristically accompanies high fever, abdominal pain, headache, vomiting, bleeding tendency and renal failure. The Korean hemorrhagic fever displays various clinical manifestations and courses. Complication includes hypertension, intra-organ bleeding, respiratory problems including pulmonary edema, pituitary insufficiency, infection and anemia. In rare cases, cardiac complications, such as acute myocarditis and atrioventricular conduction block were reported. In addition, an acute pancreatitis, which accompanied serum amylase and lipase elevation, was rarely reported as one of the cause of abdominal pain in the patients with the Korean hemorrhagic fever. We report a patient, who were diagnosed with Korean hemorrhagic fever and displayed persistent abdominal pain, elevation of serum amylase and lipase, and detection of diffuse edema of the pancreas and fluid collection in the retroperitoneal space, especially around the pancreas and kidney, in the ultrasound and CT scan.
