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Published on: May 10, 2024
[Acute pancreatitis associated with MMR vaccination]
Lars Folmer Hansen1, Mette Maria Nordling, Henrik Bindesbøl Mortensen
1Paediatrisk Afdeling, Amtssygehuset i Gentofte.
Abstract:
A 12-year-old girl got abdominal pain three weeks after having received the second vaccination against MMR. MRCP showed dilatation of ductus choledochus and edema of caput pancreaticus. No stone was to be seen and the P-calcium level was normal. Hepatitis A virus, Ebstein-Barr virus, cytomegalovirus, enterovirus, serum col hemaggutinins, Yersinia and cystic fibrosis were all negative. Pancreatitis is seen with endemic parotitis and we suggest that MMR vaccination may have a causal connection with the above case.
Insights
A 12-year-old experienced abdominal pain post-MMR vaccination. Doctors observed pancreatic swelling, suggesting a potential link between the measles, mumps, and rubella vaccine and pancreatitis.
Area of Science:
- Pediatric Gastroenterology
- Vaccinology
- Immunology
Background:
- Measles, mumps, and rubella (MMR) vaccination is a routine immunization.
- Pancreatitis, while rare, can occur in children.
- Investigating potential adverse events following immunization is crucial for public health.
Observation:
- A 12-year-old girl presented with abdominal pain three weeks after her second MMR vaccination.
- Magnetic resonance cholangiopancreatography (MRCP) revealed dilatation of the common bile duct and pancreatic head edema.
- Other potential causes, including gallstones, viral infections (Hepatitis A, EBV, CMV, enterovirus), Yersinia, and cystic fibrosis, were ruled out.
Findings:
- The patient's presentation of pancreatitis following MMR vaccination is unusual.
- Normal serum calcium levels excluded hypercalcemia as a cause.
- The absence of other identified etiological factors points towards a possible vaccine-related event.
Implications:
- This case suggests a potential, albeit rare, causal association between MMR vaccination and pancreatitis in children.
- Further research is warranted to explore the immunological mechanisms linking MMR vaccine and pancreatic inflammation.
- Clinicians should consider pancreatitis in the differential diagnosis for abdominal pain in children recently vaccinated with MMR.
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