J Korean Soc Pediatr Nephrol.  2003 Oct;7(2):211-216.

Two Cases of Pancreatitis in Children with Hemolytic Uremic Syndrome

• Park JM
• Kim KS
• Nam YM
• Kim ES
• Ahn SY
• Shin JI
• Lee JS

Abstract

An epidemic outbreak of food poisoning due to enterohemorrhagic Escherichia coli(EHEC) occurred throughout Korea from May to September, 2003. Patients infected via contaminated school lunch foods were found mainly in Seoul and Gyeonggi province. As a result of this food poisoning, 36 patients were diagnosed as hemolytic uremic syndrome(HUS) up to mid- September, 2003 and five of them visited our hospital. Before the outbreak this year, we had experienced only 23 cases of HUS, including diarrhea associated (D+) and atypical (D-) forms, for the last 14 years, and there had been no case with pancreatic enzyme elevation. Unlike the past HUS cases, those of this year presented with severe abdominal pain and spiking elevation of pancreatic enzyme levels in 2 cases. We report 2 cases of transient pancreatitis combined with HUS in children during the epidemic outbreak in 2003 with a brief review of related literatures.

Keyword

Epidemic outbreak; Hemolytic uremic syndrome; Pancreatitis

MeSH Terms

Abdominal Pain
Child*
Diarrhea
Escherichia
Foodborne Diseases
Gyeonggi-do
Hemolytic-Uremic Syndrome*
Humans
Korea
Lunch
Pancreatitis*
Seoul