title: A retrospective study of acute pancreatitis in patients with hemorrhagic fever with renal syndrome.
abstract: BACKGROUND
  Etiological diagnosis is an important part of the diagnosis and treatment of acute pancreatitis. Hantavirus infection is a rare cause of acute pancreatitis, which is easy to ignore. There is a need to analyze clinical features of acute pancreatitis caused by Hantavirus.
  
  
  METHODS
  This is a retrospective study conducted from May 1, 2006 to May 31, 2012 on patients diagnosed with hemorrhagic fever with renal syndrome at our hospital. We reviewed these patients medical records, laboratory results and radiologic examinations to determine the prevalence and summarize clinical features of acute pancreatitis in patients with hemorrhagic fever with renal syndrome.
  
  
  RESULTS
  A total of 218 patients were diagnosed with hemorrhagic fever with renal syndrome during the 6-year study period. Only 2.8% (6/218) of the total hemorrhagic fever with renal syndrome patients were diagnosed with acute pancreatitis. The first symptom for all six of the patients with acute pancreatitis was fever. All six patients experienced hemorrhage and thrombocytopenia during the disease course, which was different from general acute pancreatitis. In addition, we presented two misdiagnosed clinical cases.
  
  
  CONCLUSIONS
  Acute pancreatitis is not a frequent complication in patients with hemorrhagic fever with renal syndrome. Clinicians should be alerted to the possibility of hemorrhagic fever with renal syndrome when acute pancreatitis patients with epidemiological data have high fever before abdominal pain.
authors.forename: Yin
authors.initials: Y
authors.lastname: Zhu
authors.forename: You-Xiang
authors.initials: YX
authors.lastname: Chen
authors.forename: Yong
authors.initials: Y
authors.lastname: Zhu
authors.forename: Pi
authors.initials: P
authors.lastname: Liu
authors.forename: Hao
authors.initials: H
authors.lastname: Zeng
authors.affiliation: Department of Gastroenterology, The First Affiliated Hospital of NanChang University, Nanchang, Jiangxi 330006, People's Republic of China. lunonghua@163.com.
authors.forename: Nong-Hua
authors.initials: NH
authors.lastname: Lu
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006480:Hemorrhagic Fever with Renal Syndrome / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000209:etiology / Q000821:virology*; D012189:Retrospective Studies; D055815:Young Adult