Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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Acute Pancreatitis Associated with Varicella Infection in an Immunocompetent Child

정상 면역기능을 가진 소아에서 수두 감염 후에 발생한 급성 췌장염 1예

  • Oh, Ki-Won (Department of Pediatrics, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Kim, Joon-Sung (Department of Pediatrics, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Kim, Ja-Hyeong (Department of Pediatrics, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Park, Sang-Kyu (Department of Pediatrics, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Jeong, Jin-Young (Department of Pediatrics, Ulsan University Hospital, University of Ulsan College of Medicine)
  • 오기원 (울산대학교 의과대학 울산대학교병원 소아과학교실) ;
  • 김준성 (울산대학교 의과대학 울산대학교병원 소아과학교실) ;
  • 김자형 (울산대학교 의과대학 울산대학교병원 소아과학교실) ;
  • 박상규 (울산대학교 의과대학 울산대학교병원 소아과학교실) ;
  • 정진영 (울산대학교 의과대학 울산대학교병원 소아과학교실)
  • Received : 2008.01.30
  • Accepted : 2008.02.29
  • Published : 2008.03.30
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Abstract

Blunt trauma, drugs, infection, congenital anomalies of the pancreaticobiliary system, and multisystem diseases are the main causes of acute pancreatitis in children. Various viruses can cause acute pancreatitis, but varicella-induced pancreatitis is unusual and generally observed in adults or immunocompromised patients. We report a rare case of acute pancreatitis associated with varicella-zoster virus infection in a 6-year-old immunocompetent girl. The patient initially presented complaining of severe abdominal pain and repetitive vomiting. The patient had multiple cutaneous crusts that has been caused by preceding varicella infection and had elevated values of serum amylase and lipase. Abdominal ultrasonography demonstrated swelling of the pancreas and pancreatic duct dilatation, findings which were compatible with acute pancreatitis. The patient's clinical and laboratory abnormalities were completely normalized through conservative treatment consisting of fasting, total parenteral nutrition, and analgesic therapy.

저자들은 복통과 반복적인 구토를 주소로 내원한 정상적인 면역기능을 가진 6세 소아에서 수두-대상포진 바이러스 감염 후에 드문 합병증의 하나로 발생한 급성 췌장염 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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