RESUMO
INTRODUCTION: A case of child with acute pancreatitis associated with typhoid fever is reported herein. CASE REPORT: A four years old child was admitted to the pediatric emergency room with an acute abdomen and fever. He was submitted to a diagnostic laparotomy and mesenteric adenitis was the only finding. During the postoperative period, he persisted with abdominal pain and fever. Laboratory studies and abdominal ultrasonography revealed an acute pancreatitis. Also, Salmonella typhi was isolated from blood and stool cultures. Treatment for pancreatitis included nasogastric catheter and total parenteral nutrition. Typhoid fever was treated with ampicillin. Thereafter, his clinical course was uneventful and he was discharged 13 days after being admitted. CONCLUSIONS: Acute pancreatitis has been associated with typhoid fever. To the best of our knowledge, this is the youngest patient reported in the literature with this association. Possible pathophysiologic mechanisms are reviewed.
Assuntos
Abdome Agudo/etiologia , Pancreatite/etiologia , Febre Tifoide/complicações , Doença Aguda , Ampicilina/uso terapêutico , Bacteriemia/microbiologia , Pré-Escolar , Fezes/microbiologia , Humanos , Masculino , Linfadenite Mesentérica/etiologia , Pancreatite/diagnóstico por imagem , Pancreatite/fisiopatologia , Pancreatite/terapia , Nutrição Parenteral Total , Penicilinas/uso terapêutico , Salmonella typhi/isolamento & purificação , Tomografia Computadorizada por Raios X , Febre Tifoide/diagnóstico , Febre Tifoide/tratamento farmacológico , UltrassonografiaRESUMO
Histoplasmose disseminada progressiva é a forma mais comum da doença em pacientes com Aids e a forma mais comum de manifestação é a febre e perda de peso. O Rx de tórax é normal em 30 por cento - 40 por cento; e o restante dos casos apresenta, geralmente, um ilfiltrado nodular difuso. Relatamos um caso de histoplasmose mesentérica em Aids
Assuntos
Histoplasmose , Infecções Oportunistas Relacionadas com a AIDS/etiologia , Infecções Oportunistas Relacionadas com a AIDS/fisiopatologia , Linfadenite Mesentérica/etiologia , Linfadenite Mesentérica/fisiopatologia , Síndrome da Imunodeficiência Adquirida/fisiopatologiaRESUMO
A case of heptatodiaphragmatic interposition of colon is described in a school-age boy with malnutrition, appendicitis and mesenteric adenitis subsequent to typhoid fever. Historical, etiological, clinical and therapeutic considerations are made.