Article in Japanese

Case of a male pediatric patient with mycoplasma pneumonia followed by acute pancreatitis -A case report and review of the literature-

Yoshifusa ABE¹⁾, Shintaro SUZUKI²⁾, Kazuhiko MATSUHASHI¹⁾, Mai ARAI¹⁾, Shuichiro WATANABE³⁾, Kazuo ITABASHI¹⁾

The case of a male pediatric patient with mycoplasma pneumonia followed by acute pancreatitis is described. The patient was six years and eleven months old. He was referred to our hospital due to fever and cough. Chest X-ray images showed pneumonia and laboratory tests revealed an elevated transaminase level. He was admitted to our hospital because of mycoplasma pneumonia and acute liver dysfunction. Although his symptoms and laboratory data were improving, he had fever and upper abdominal pain on day 20 post admission. The levels of pancreatic enzymes were elevated in the patient's blood and urine, and CT images of the abdomen revealed swelling of the pancreas. Hence, he was diagnosed as having acute pancreatitis. There are several reports on cases of mycoplasma pneumonia followed by acute pancreatitis; however, whether acute pancreatitis is induced by mycoplasma infection remains to be clarified. Therefore, it is important to reconsider this issue. Previous studies and this one suggest that attention should be paid to the incidence of acute pancreatitis after improvement of mycoplasma pneumonia. However, further research is required to clarify the mechanisms underlying this incidence.

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1) Department of Pediatrics, Showa University School of Medicine
2) Division of Respiratory and Allergy, Department of Internal Medicine, Showa University School of Medicine
3) Watanabe Children's Clinic

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Received	April 4, 2013
Accepted	May 27, 2013

25 (3)：247─254,2013