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Journal of Immunology Research and Innovation

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ORIGINAL ARTICLE
Acute pancreatitis An immune mediated injury of rheumatic fever
Ramachandran Muthiah  
cardioramachandran@yahoo.co.uk
Morning star hospital, Enayam Thoppu, Kanyakumari District, India
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ABSTRACT

Acute pancreatitis is an acute inflammatory disease of the pancreas that may also involve surrounding tissues since the pancreas lacks a capsule, the pancreatic enzymes access to adjacent area and digest the fascial layers. It is observed as an initial manifestation of group A beta hemolytic streptococcal infection in a 32 years young, obese male in this tropical region where Rheumatic fever is endemic. He was admitted with acute abdominal pain and supported with intravenous fluids and pain not relieved by any medications and blood analysis showed an elevated amylase and lipase levels, raised ESR and a positive ASO titer and CT abdomen revealed interstitial edematous pancreatitis (IEP). Patient was treated with intravenous antibiotics and the pain subsided immediately and blood parameters returned to normal levels at 4 weeks and follow up CT revealed no abnormal findings and symptom free thereafter.



KEYWORDS

    1. Acute abdominal pain
    2. Pancreatitis
    3. ASO titer
    4. Antibiotics
    5. Preventivemeasures
    6. Mucosalvaccine


Author Info

Ramachandran Muthiah

Morning star hospital, Enayam Thoppu, Kanyakumari District, India
Corresponding author: cardioramachandran@yahoo.co.uk

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