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Acute pancreatitis caused by Mycoplasma pneumoniae: an unusual etiology
Teresa Valdés Lacasa1, María Alejandra Duarte Borges2, Alicia García Marín3
1Gastroenterology Department, Hospital Universitario 12 de Octubre, Avenida de Córdoba S/N, 28041, Madrid, Spain. teresavaldeslacasa@gmail.com.
Abstract:
It is well known that the most important etiologies of acute pancreatitis are gallstones and alcohol consumption. Once these causes have been ruled out, especially in young adults, it is important to consider less frequent etiologic factors such as drugs, trauma, malformations, autoimmunity or systemic diseases. Other rare and less well studied causes of this pathology are infections, among which Mycoplasma pneumoniae has been reported to cause acute pancreatitis as an unusual extrapulmonary manifestation. Here, we report the case of a 21-year-old patient who had acute idiopathic pancreatitis associated with an upper respiratory tract infection. After an in-depth study, all other causes of pancreatitis were ruled out and Mycoplasma was established as the clinical etiology.
Insights
Acute pancreatitis can be caused by infections like Mycoplasma pneumoniae, especially in young adults when common causes are excluded. This case highlights Mycoplasma as a potential etiology for acute idiopathic pancreatitis following respiratory infections.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Internal Medicine
Background:
- Gallstones and alcohol are primary causes of acute pancreatitis.
- Less common etiologies include drugs, trauma, autoimmune disorders, and systemic diseases.
- Infections are rare causes, with Mycoplasma pneumoniae noted as an unusual extrapulmonary manifestation.
Observation:
- A 21-year-old patient presented with acute idiopathic pancreatitis.
- The patient had symptoms of an upper respiratory tract infection.
- Common causes of pancreatitis were systematically ruled out.
Findings:
- Mycoplasma pneumoniae was identified as the etiological agent.
- This suggests Mycoplasma pneumoniae can cause acute pancreatitis as an extrapulmonary manifestation.
- The pancreatitis was associated with a preceding respiratory infection.
Implications:
- Mycoplasma pneumoniae should be considered in the differential diagnosis of acute idiopathic pancreatitis in young adults, particularly after respiratory infections.
- This finding expands the understanding of extrapulmonary manifestations of Mycoplasma pneumoniae infections.
- Further research may elucidate the mechanisms linking Mycoplasma pneumoniae to pancreatitis.
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