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.

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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