Biliary tract disease and alcohol abuse are the most common causes of acute pancreatitis in adults.1 This is in contrast to children in whom the majority of cases were due to steroid therapy, trauma, biliary tract disease, and infection.2 The idiopathic form comprises 20% of the cases.2 Uncommon causes include other drugs, diabetes mellitus, duodenal ulcer, cystic fibrosis, hyperlipoproteinemia, hyperparathyroidism, septic shock, pregnancy, porphyria, kwashiorkor, and scorpion bites.2

Mycoplasma pneumoniae has recently been recognized as a possible cause of pancreatitis in adults.3-6 This paper reports a child who had acute pancreatitis associated with a rising antibody titer to M pneumoniae.

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