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Post‑vaccination Acute Pancreatitis in an Infant: A Report of a Rare Case and Brief Literature Review
Ghalib Nashaat El Hunjul1, Poorvi Gupta2, Khurshid Khan1
1General Pediatrics, Al Qassimi Women's and Children's Hospital, Sharjah, ARE.
Insights
Pediatric acute pancreatitis (AP) is uncommon in young children and often presents with nonspecific symptoms. This case highlights a potential association between the measles, mumps, and rubella (MMR) vaccine and AP in infants.
Area of Science:
- Pediatrics
- Gastroenterology
- Immunology
Background:
- Acute pancreatitis (AP) is increasingly diagnosed in children, but often delayed in infants due to nonspecific symptoms like irritability and vomiting.
- While most pediatric AP cases are mild, severity can escalate with organ dysfunction or complications.
Abstract:
Acute pancreatitis (AP) is increasingly recognized in the pediatric population, although it remains uncommon in infants and young children. In this age group, diagnosis is often delayed because clinical manifestations, such as irritability, vomiting, and feeding intolerance, are nonspecific and may occur in the absence of classic abdominal pain. Most pediatric cases are mild and self‑limiting; however, severity can range from mild to severe depending on the presence and duration of organ dysfunction and the development of local or systemic complications at presentation. A wide spectrum of etiologies has been described in pediatric AP, acute recurrent pancreatitis (ARP), and chronic pancreatitis (CP). However, vaccination is among the least frequently reported associations, with only isolated case reports in the literature. Establishing causality in such instances is challenging, and a thorough evaluation for more common etiologies remains essential. We report the case of a 12‑month‑old girl who developed AP three days after receiving the measles, mumps, and rubella (MMR) vaccine, which highlights the importance of maintaining a broad differential diagnosis.
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