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Published on: April 1, 2022
Doxycycline-induced pancreatitis: a rare finding.
John Kelly Wachira1, Cristina Hill Jensen, Kelly Rhone
1Sanford School of Medicine, University of South Dakota, SD, USA.
Drug-induced pancreatitis (DIP) is rare but increasing. This case highlights doxycycline as a potential cause of DIP in young adults, emphasizing its consideration in unexplained pancreatitis.
Area of Science:
- Gastroenterology
- Pharmacology
- Internal Medicine
Background:
- Drug-induced pancreatitis (DIP) is an uncommon cause of acute pancreatitis.
- Its incidence is rising, necessitating awareness among clinicians.
- Common causes include alcohol, gallstones, and ERCP, but drug-related etiologies are increasingly recognized.
Observation:
- A 21-year-old female presented with symptoms consistent with acute pancreatitis.
- She had recently completed a course of doxycycline for an upper respiratory infection.
- Diagnostic workup ruled out other common causes of pancreatitis.
Findings:
- The patient was diagnosed with doxycycline-induced pancreatitis.
- Lipase levels were mildly elevated, and CT scan confirmed pancreatitis.
- Symptoms resolved completely after discontinuation of doxycycline.
Implications:
- DIP should be considered in the differential diagnosis of idiopathic pancreatitis.
- Awareness of drug-induced causes is crucial in modern pharmacotherapy.
- Prompt recognition and management can lead to full recovery.
Related Concept Videos
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Chronic Pancreatitis I: Introduction
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Acute Pancreatitis I: Introduction
Acute Pancreatitis I: Introduction
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
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Chronic Pancreatitis II: Pathophysiology

