Mumps cause pancreatitis orchitis myocarditis hepatitis 1 case.doc

 PAGE \* MERGEFORMAT 3 Mumps cause pancreatitis orchitis myocarditis hepatitis 1 case Patients often see the sea, male, 14 years old. Disease Notes No.: 154628. The patient was October 1, 2002, no significant incentive to under the left ear pain, swollen cheeks left the next day the pain occurs, seek medical treatment in local clinics diagnosed as “mumps.” given 0.85% saline 300ml, penicillin 800 million u, ribavirin 600mg, dexamethasone 5mg, at .3 days after the first intravenous infusion patients had testicular pain, swelling, still in the local .2002 by the treatment before the Oct. 7, the patient developed nausea, vomiting, then go to the county hospital, the inspection of blood and urine amylase were increased, diagnosed as “acute pancreatitis” and transferred to our hospital. hospitalized When body temperature 38 ℃, heart rate 86 beats / min, breathing 18 times / min, blood pressure 140/70mmHg, clear language of God Lee, throat congestion, the left parotid gland swelling, hard, non-profit open parotid abscess, no secretion objects can be touched under the chin a 2 × 1.5cm size of lymph node enlargement. cardiopulmonary auscultation no abnormal beating. upper abdominal tenderness, liver and spleen not palpable. swollen left testicle about 6.5 × 4.5cm, with tender touch, about the right testis 4.7 × 3.5cm, slightly tender. Laboratory examinations: blood: WBC 15.6 × 109 / L, CR 76.1%, LY 23.4%, liver function: ALT 86U / L, AST 53U / L, enzymes: CK 399U / L, LDH 317U / L, HBDH 261U / L, serum amylase: 1335U / L, urine amylase: 168U / L, hepatitis series: (a ECG: sinus rhythm, normal axis, right bundle branch block, digestive ultrasound: liver enlargement echo enhancement pancreas, irregular contour, echo thickening enhancement, spleen and gallbladder were normal. Clinical diagnosis: mumps complicated with acute pancreatitis, orchitis, myocarditis, hepatitis. clinical treatment: 0.85% saline 250ml, penicillin 800 million u, 0.85% saline 250ml, clea