Journal List > Korean J Pediatr Gastroenterol Nutr > v.11(1) > 1110143

Korean J Pediatr Gastroenterol Nutr. 2008 Mar;11(1):75-79. Korean.
Published online Mar 31, 2008.
Copyright © 2008 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
Acute Pancreatitis Associated with Varicella Infectionin an Immunocompetent Child
Ki Won Oh, Joon Sung Kim, Ja Hyeong Kim, Sang Kyu Park and Jin Young Jeong
Department of Pediatrics, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.

Blunt trauma, drugs, infection, congenital anomalies of the pancreaticobiliary system, and multisystem diseases are the main causes of acute pancreatitis in children. Various viruses can cause acute pancreatitis, but varicella-induced pancreatitis is unusual and generally observed in adults or immunocompromised patients. We report a rare case of acute pancreatitis associated with varicella-zoster virus infection in a 6-year-old immunocompetent girl. The patient initially presented complaining of severe abdominal pain and repetitive vomiting. The patient had multiple cutaneous crusts that has been caused by preceding varicella infection and had elevated values of serum amylase and lipase. Abdominal ultrasonography demonstrated swelling of the pancreas and pancreatic duct dilatation, findings which were compatible with acute pancreatitis. The patient's clinical and laboratory abnormalities were completely normalized through conservative treatment consisting of fasting, total parenteral nutrition, and analgesic therapy.

Keywords: Acute pancreatitis; Varicella-zoster virus; Immunocompetent child