November 12, 2014
Notes: Zhao, Jing-Bo
Nissen, Thomas Dahl
World J Gastroenterol. 2013 Nov 14;19(42):7222-30. doi: 10.3748/wjg.v19.i42.7222.
Author Address: Jing-Bo Zhao, Dong-Hua Liao, Mech-Sense, Department of Gastroenterology and Surgery, Aalborg University Hospital, DK 9000 Aalborg, Denmark.
Reference Type: Journal Article
Record Number: 4839Author: Zhu, Y., Chen, Y. X., Zhu, Y., Liu, P., Zeng, H. and Lu, N. H.
Title: A retrospective study of acute pancreatitis in patients with hemorrhagic fever with renal syndrome
Journal: BMC Gastroenterol
Short Title: A retrospective study of acute pancreatitis in patients with hemorrhagic fever with renal syndrome
Alternate Journal: BMC gastroenterology
ISSN: 1471-230X (Electronic)
Accession Number: 24345089
Keywords: Acute Disease
Hemorrhagic Fever with Renal Syndrome/*complications
Abstract: 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.