ABSTRACT
Metabolic causes of acute pancreatitis though uncommon, are important as early recognition helps in the management and prevention of recurrent episodes. Among the uncommon etiologies, Primary hyperparathyroidism (PHPT) is one of the important causes of acute pancreatitis. We studied nine patients with acute or recurrent acute pancreatitis with etiology of PHPT. All patients had elevated serum calcium on admission and high levels of circulating parathyroid hormone. Ultrasonography, 4D CT and Sestamibi scan was used to localize parathyroid adenoma. These patients underwent parathyroidectomy and post-operative histology was consistent with parathyroid adenoma.
ABSTRACT
Background:Current study aimed at s to delineate the etiology and clinical parameters associated with AUFIpresenting toemergency department in atertiary care hospital.Methods:This wasa prospectivehospital based study carried out atemergency medicine, SKIMS hospital, SouraKashmir, IndiaJuly2017 toaugust 2018. Patients with acute undifferentiated fever were enrolled. Descriptive statistics were calculated in terms of mean盨D for continuous variables like age of the patients and duration of fever, Frequency and percentage were used to analyse categorical variables such as causes of fever and gender, while as descriptive analysis was calculated in terms of mean盨D for continuous variables like ageof the patients and duration of fever.Results:Totalnumbers of patients included were 174, among these 112 (64.3%) were males and 62 (35.6%) were females. Most patientswere diagnosedenteric fever (N=59, 33.9%)followed byUTI (N=25, 14.3%) dengue (N=12, 6.8%) and malaria (N=8, 4.5%)while rest of cases were associated with other viral illnesses (N=70, 40.5%)based on clinicalbasisand inconclusive laboratory results.Conclusions:Enteric fever was found to be the most commoncause of acute undifferentiated fever followed by dengue andother viral illnesses, althoughcauses and clinic spectrumof AUFI is varied.