严重的登革热与高炎症状态和相关的急性胰腺炎
Susan Alessandra Rodriguez Gonzalez1, Linda Banegas2, Edwin Mauricio Cantillano Quintero2
1Departamento de Pediatria, UNAH-VS Universidad Nacional Autónoma de Honduras, Valle de Sula, Tegucigalpa, Honduras.
Case reports in infectious diseases
|April 21, 2025
概括
严重的登革热可以导致罕见的并发症,如急性胰腺炎,即使在青少年. 及时诊断和支持性护理,包括补水,对于从这种潜在的有害状况中恢复至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
- 关键护理医学 关键护理医学
背景情况:
- 登革热病毒感染正在增加,导致各种并发症.
- 严重的登革热可以表现为高炎症和多菌炎.
- 急性胰腺炎是登革热的罕见但严重的并发症.
研究的目的:
- 在青少年中呈现严重的登革热病例,并由急性胰腺炎复杂化.
- 突出这一罕见并发症的诊断挑战和临床表现.
- 强调认识到登革热相关胰腺炎的重要性.
主要方法:
- 一个被诊断患有严重登革热的青少年女性的案例报告.
- 临床评估包括实验室测试 (NS1,IgG,IgM,转氨酶,炎症标志物,纤维原体) 和成像研究.
- 根据血清脂酶/氨酶和成像学水平升高的急性胰腺炎的诊断.
主要成果:
- 这位患者出现了严重的登革热,高炎症和多菌炎.
- 观察到过氨基酶 (>1000U/L) 和炎症标志物的升高.
- 确诊的急性胰腺炎有轻微症状 (恶心),并通过脂酶/氨酶和成像检测证实.
结论:
- 急性胰腺炎是严重登革热的罕见但显著的并发症.
- 早期识别和支持性管理,包括禁食和补水,对于患者的康复至关重要.
- 这一案例强调了对不寻常的登革热表现需要保持警.
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