Korean J Med.  2003 Nov;65(Suppl 3):S898-S901.

A case of Korean hemorrhagic fever with acute pancreatitis

• Kim E
• Park JH
• Oh SY
• Choi I
• Lee JH
• Hong SK

Abstract

The Korean hemorrhagic fever is an acute febrile disease, which characteristically accompanies high fever, abdominal pain, headache, vomiting, bleeding tendency and renal failure. The Korean hemorrhagic fever displays various clinical manifestations and courses. Complication includes hypertension, intra-organ bleeding, respiratory problems including pulmonary edema, pituitary insufficiency, infection and anemia. In rare cases, cardiac complications, such as acute myocarditis and atrioventricular conduction block were reported. In addition, an acute pancreatitis, which accompanied serum amylase and lipase elevation, was rarely reported as one of the cause of abdominal pain in the patients with the Korean hemorrhagic fever. We report a patient, who were diagnosed with Korean hemorrhagic fever and displayed persistent abdominal pain, elevation of serum amylase and lipase, and detection of diffuse edema of the pancreas and fluid collection in the retroperitoneal space, especially around the pancreas and kidney, in the ultrasound and CT scan.

Keyword

Hemorrhagic fever with renal syndrome; Acute pancreatitis

MeSH Terms

Abdominal Pain
Amylases
Anemia
Atrioventricular Block
Edema
Fever
Headache
Hemorrhage
Hemorrhagic Fever with Renal Syndrome*
Humans
Hypertension
Hypopituitarism
Kidney
Lipase
Myocarditis
Pancreas
Pancreatitis*
Pulmonary Edema
Renal Insufficiency
Retroperitoneal Space
Tomography, X-Ray Computed
Ultrasonography
Vomiting
Amylases
Lipase