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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Perm+J
2017 ; 21
(ä): 16-083
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English Wikipedia
Simultaneous Occurrence of Varicella Zoster Virus-Induced Pancreatitis and
Hepatitis in a Renal Transplant Recipient: A Case Report and Review of
Literature
#MMPMID28333601
Chhabra P
; Ranjan P
; Bhasin DK
Perm J
2017[]; 21
(ä): 16-083
PMID28333601
show ga
INTRODUCTION: Gastrointestinal complications are common after renal
transplantation, including oral lesions, esophagitis, gastritis, diarrhea, and
colon carcinoma. The differential diagnosis is difficult in this scenario because
multiple factors such as drugs, infections, and preexisting gastrointestinal
disease come into play. CASE PRESENTATION: We report a case of varicella zoster
virus-induced pancreatitis and hepatitis in a renal transplant recipient. The
patient underwent renal transplantation 3 years earlier and now presented with
severe pain in the epigastrium radiating to his back and had raised serum lipase
levels and skin lesions characteristic of varicella. Liver enzyme levels were
also elevated. He was started on a regimen of acyclovir. His pain improved in 24
hours, and liver enzyme levels returned to normal in 48 hours. DISCUSSION: There
is a paucity of literature on the simultaneous occurrence of varicella zoster
virus-induced hepatitis and pancreatitis in both immunocompetent and
immunocompromised patients. Our case highlights the gastrointestinal
complications of varicella infection in immunocompromised patients that may
precede the characteristic dermatologic manifestations, and the fact that rarely
both hepatitis and pancreatitis may be seen.