A40-YEAR-OLD FIJIAN MAN WITH HUMAN IMMUNODEFICIENCYVIRUS (HIV)infection (CD4 cell count, 190 per cubic millimeter) presented with a 72-hour history of severe epigastric pain, nausea, and vomiting. Similar episodes of epigastric pain had occurred several times, preceding the diagnosis of HIV infection by 20 years. Laboratory investigations revealed an elevated serum lipase level (173 U per liter), suggesting a diagnosis of pancreatitis. He did not drink alcohol, and investigations performed during previous episodes had not identified other causes of pancreatitis.
展开▼
