Pediatric Infection and Vaccine

  • 제30권2호
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  • Pages.104-110
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  • 2023
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  • 2384-1079(pISSN)
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  • 2384-1087(eISSN)
대한소아감염학회 (The Korean Society of Pediatric Infectious Diseases)
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명치 통증으로 내원한 COVID-19에 감염된 8세 소아의 단독 급성 췌장염 1례

A Case of Isolated Acute Pancreatitis Presenting With Epigastric Pain in an 8-Year-Old Child Infected With COVID-19

  • 진주옥 (한림대학교 강남성심병원 소아과) ;
  • 정세리 (한림대학교 강남성심병원 진단검사의학교실) ;
  • 곽병옥 (한림대학교 강남성심병원 소아과) ;
  • 황숙민 (한림대학교 강남성심병원 영상의학과) ;
  • 조기영 (한림대학교 강남성심병원 소아과)
  • Joo Ok Jin (Department of Pediatrics, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Se Ri Jeong (Department of Laboratory Medicine, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Byung Ok Kwak (Department of Pediatrics, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Sook Min Hwang (Department of Radiology, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Ky Young Cho (Department of Pediatrics, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine)
  • 투고 : 2023.04.19
  • 심사 : 2023.08.01
  • 발행 : 2023.08.25
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초록

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)는 호흡기계 뿐만 아니라 소화기계에도 감염을 일으킨다. 이중 SARS-CoV-2가 급성 췌장염을 일으키는 경우는 성인과 소아를 포함하여coronavirus disease 2019 (COVID-19) 확진 환자의 약 0.16% 정도이다. COVID-19에 확진된 소아 환자에서의 급성 췌장염은 그 동안 소아다기관염증증후군이나 중증의 코로나 감염 환자에서 동반 질환으로 보고되는 게 대부분이며 단독으로 급성 췌장염만 일으키는 사례는 거의 없었다. 저자들은 SARS-CoV-2에 감염된 소아 환자에게서 단독으로 급성 췌장염이 발생한 예를 경험하였고 성공적으로 치료하였기에 보고하는 바이다.

Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) mainly causes respiratory symptoms such as fever, cough, sputum, and rhinorrhea, as well as digestive symptoms such as diarrhea, vomiting, and abdominal pain in children. In this report, we describe a case of a child with a SARS-CoV-2 infection who presented with epigastric pain and was subsequently diagnosed with acute pancreatitis without any concomitant infections in other organs. The epigastric pain was relieved with goal-directed vigorous fluid therapy for acute pancreatitis for 24 hours, and the serological and radiological findings normalized after two months. Acute pancreatitis should be considered as a differential diagnosis when a child with a history of COVID-19 visits the hospital with epigastric pain.

키워드

참고문헌

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