Atypical presentation of spontaneous splenic rupture secondary to Epstein-Barr virus infection.

Autor: Philip N; Respiratory Medicine, Wrexham Maelor Hospital, Wrexham, UK naveenph17@gmail.com., Ali T; Respiratory Medicine, Wrexham Maelor Hospital, Wrexham, UK., Rahman MA; Respiratory Medicine, Wrexham Maelor Hospital, Wrexham, UK., Cowell R; Department of Cardiology, Wrexham Maelor Hospital, Wrexham, UK.
Jazyk: angličtina
Zdroj: BMJ case reports [BMJ Case Rep] 2024 Aug 29; Vol. 17 (8). Date of Electronic Publication: 2024 Aug 29.
DOI: 10.1136/bcr-2024-259799
Abstrakt: We present a case of atraumatic splenic rupture secondary to Epstein-Barr virus (EBV) infection in a woman in her early 50s. The patient initially presented with sepsis secondary to pneumonia but then developed abdominal pain and distension. CT revealed splenic rupture with a significant perisplenic hematoma. Laboratory tests confirmed an EBV infection. Owing to frailty, she underwent fluoroscopy-guided splenic artery embolisation. This case highlights the rare risk of splenic rupture following EBV infection, even in the absence of typical symptoms of infectious mononucleosis.
Competing Interests: Competing interests: None declared.
(© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze: MEDLINE