Case Report: Splenic Infarction in Infectious Mononucleosis due to Epstein–Barr Virus Infection
| Autor: | Katsuma Hayashi, Hayato Shimizu, Hiroaki Nishioka |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Mononucleosis business.industry Case Report Spleen medicine.disease Gastroenterology Pharyngitis Infectious Diseases medicine.anatomical_structure Virology Splenic infarction Internal medicine medicine Sore throat Parasitology medicine.symptom business Complication Epstein–Barr virus infection |
| Zdroj: | Am J Trop Med Hyg |
| ISSN: | 1476-1645 0002-9637 |
| Popis: | Epstein–Barr virus (EBV) is the most common cause of infectious mononucleosis (IM) and IM is a clinical syndrome typically characterized by fever, pharyngitis, and cervical lymph node enlargement. We describe the case of a 19-year-old man with IM complicated by splenic infarction. The patient visited our hospital because of upper abdominal pain without a fever and sore throat. Abdominal computed tomography revealed a low-density area in the spleen, which indicated splenic infarction. The next day, he developed a fever. After diminishing abdominal pain and fever, he developed pharyngitis accompanied by fever. Acute EBV infection was confirmed by serological tests. The patient was successfully managed with no specific therapy. Splenic infarction is a rare complication of IM and this case showed that splenic infarction can precede a fever and pharyngitis. |
| Databáze: | OpenAIRE |
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