Isolated Acute Rheumatic Pancreatitis—A Case Report

• 作者: Ramachandran Muthiah
• 来源期刊: 临床医学病理报告(英文)
• 学科: 医学
• 关键词: Acute Abdomen PANCREATITIS ASO Titer Elevated Pancreatic Enzymes ANTIBIOTICS
• 年，卷（期）: 2021,（2）
• 页码范围: 52-77
• 页数: 26页
• 分类号: R57

摘要

<strong>Aim:</strong> To emphasize the role of antibiotics in acute pancreatitis as prophylactic and therapeutic benefits. <strong>Case Report:</strong> A 32-year-old obese male was admitted with acute abdomen in the emergency room. He was supported with intravenous fluids and the blood chemistry revealed elevated amylase and lipase levels, raised ESR and a positive ASO titer test. CT abdomen suggested interstitial edematous pancreatitis (IEP) and no fluid collection. Patient was treated with IV cefotaxime and IV metronidazole, his condition remarkably improved with therapy, blood parameters returned normal at the end of 4 weeks, and follow-up CT revealed no abnormal findings and symptom free thereafter. <strong>Conclusion: </strong>Acute pancreatitis is usually a sterile inflammatory process caused by chemical autodigestion of pancreas. The edematous form of acute pancreatitis needs to correct its etiological factor to avoid recurrence. It is observed as an initial manifestation of group A beta hemolytic streptococcal infection in this patient and antibiotics play a role as curative and prophylactic in selected cases.