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Published on: June 28, 2021
West Nile virus-induced pancreatitis
Jonathan Buber1, Noam Fink, Hanna Bin
1Department of Medicine E, Sheba Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Hashomer 52621, Israel.
Abstract:
West Nile Virus (WNV) infection is a fairly common infection in Israel, especially during the summer season. Common manifestations are fever, headaches, malaise and myalgia. Pancreatitis had been described only twice previously as a complication of WNV infection in the medical literature. In this report, an 88-year-old patient is described, who was admitted to hospital with fever, confusion and general deterioration in her condition, accompanied by severe abdominal pain. WNV infection was diagnosed by a lumbar puncture and serological tests. The laboratory results demonstrated elevated amylase and lipase levels. The patient was treated conservatively and the symptoms regressed slowly until full recovery. WNV infection and its complications are described, along with descriptions of previous reports of pancreatitis associated with WNV infection.
Insights
West Nile Virus (WNV) infection can cause pancreatitis, a rare complication. This case report details an elderly patient
Area of Science:
- Infectious Diseases
- Neurology
- Gastroenterology
Background:
- West Nile Virus (WNV) is endemic in Israel, typically causing febrile illness.
- Pancreatitis is an exceptionally rare complication of WNV infection, with only two prior reports in medical literature.
Observation:
- An 88-year-old patient presented with fever, confusion, and severe abdominal pain.
- Diagnostic workup confirmed West Nile Virus infection via lumbar puncture and serology.
- Laboratory results indicated elevated amylase and lipase levels, suggestive of pancreatitis.
Findings:
- The patient experienced pancreatitis as a complication of West Nile Virus infection.
- Conservative management led to gradual symptom resolution and full recovery.
Implications:
- This case expands the known spectrum of West Nile Virus complications.
- Highlights the importance of considering WNV in patients with pancreatitis, especially during endemic seasons.
- Contributes to the limited literature on WNV-associated pancreatitis.
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