由于多西环林而引起的急性胰腺炎,这是一种广泛处方的抗生素:一个病例报告
Gloria Erazo Montalvan1, Guy Loic Nguefang Tchoukeu1, Niempa Bacani1
1Internal Medicine, Texas Tech University Health Sciences Center, Odessa, USA.
Cureus
|June 16, 2025
概括
药物诱导的急性胰腺炎很少见,但很重要. 这一案例突出了多西环林作为潜在的原因,强调需要仔细监测和药物监测,以确保患者的安全.
科学领域:
- 胃肠病学 胃肠病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 急性胰腺炎是入院的重要原因之一.
- 药物诱导的急性胰腺炎虽然不常见,但是一个关键的差异诊断.
研究的目的:
- 报告急性胰腺炎的病例,可能是由多西环素引起的.
- 为了强调考虑多西环林作为急性胰腺炎的病因的重要性.
- 倡导加强对多克西环林的药物监测.
主要方法:
- 一个59岁的女性患者的病例报告.
- 分析了临床表现,实验室发现 (脂酶) 和成像 (CT扫描).
- 排除常见的胰腺炎病因 (胆结石,酒精,代谢障碍).
主要成果:
- 患者在开始服用多西环林6天后出现急性胰腺炎.
- 停用了多西环林,这导致了随着支持性护理的显著症状改善.
- 时间关联和排除其他原因确定了多西环素作为可能的罪祸首.
结论:
- 应该考虑多西环林作为急性胰腺炎的潜在原因.
- 提高多西环林的药物监测是必要的,以提高患者的安全性.
- 早期识别和终止致病原体对于管理至关重要.
相关概念视频
Acute Pancreatitis II: Clinical Manifestations and Management
186
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
186
Acute Pancreatitis I: Introduction
502
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
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:
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:
502
Chronic Pancreatitis II: Collaborative Care
133
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
133
Chronic Pancreatitis I: Introduction
173
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
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...
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...
173
Acute Pyelonephritis II: Diagnostic Studies and Management
49
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
49
Acute Pyelonephritis I: Introduction
68
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
68


