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:: Volume 22, Issue 1 (3-2020) ::
J Babol Univ Med Sci. 2020; Volume 22 Back to browse issues page
Acute Pancreatitis as A Complication of Typhoid Fever: A Case Report
S Mehrabani *
1. Non-Communicable Pediatric Disease Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran , mehrabanisanaz@gmail.com
Abstract:   (2008 Views)
BACKGROUND AND OBJECTIVE: Typhoid fever could have a wide range of complications. Pancreatitis is a rare complication in children with typhoid fever. The aim of this case report is to describe a case of typhoid fever presented with acute pancreatitis (AP).
CASE REPORT: A 13-year-old girl with fever and abdominal pain around the umbilical region lasting one week was referred to the Amirkola Children’s Hospital. She had recurrent non-bloody, non-biliary vomiting and watery diarrhea while she had dysentery during admission. She had drunk spring water in a recent trip. The stool culture was positive for Salmonella Typhi. The Widal test results were first: TO:1.80, TH:1.80 and after one week: TO:1.320, TH:1.320. Hydrotherapy along with treatment with cefotaxime (50 mg/kg for 14 days) recovered the patient from dysentery, nausea and fever. After one week, she complained of periumbilical abdominal pain, vomiting and tenderness of epigastric region. Lipase level was elevated to 500 U/L and her pain became worse. Spiral abdominopelvic CT scan showed normal liver, spleen, gallbladder and bile ducts. However, the pancreas tail was hypodense and larger than normal. The pancreatitis was treated by hydration and intravenous pantoprazole. After two weeks of admission, she was discharged with remission, and the lab tests and ultrasound examination were normal within a 4-week follow-up.
CONCLUSION: According to this case report the pancreatitis should be considered in children with typhoid fever and persistent abdominal pain.
Keywords: Typhoid Fever, Pancreatitis, Child.
Full-Text [PDF 264 kb]   (1081 Downloads)    
Type of Study: case report | Subject: Children
Received: 2020/05/13 | Accepted: 2020/08/10 | Published: 2020/11/16
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Mehrabani S. Acute Pancreatitis as A Complication of Typhoid Fever: A Case Report. J Babol Univ Med Sci 2020; 22 (1) :376-379
URL: http://jbums.org/article-1-9412-en.html


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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 22, Issue 1 (3-2020) Back to browse issues page
مجله علمی دانشگاه علوم پزشکی بابل Journal of Babol University of Medical Sciences

The Journal of Babol University of Medical Sciences is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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