Unexplained Dyspnea in a Young Adult with Epstein–Barr Virus Infectious Mononucleosis: Pulmonary Involvement or Co-Infection with Mycoplasma pneumoniae Pneumonia?
| Autor: | Burke A. Cunha, Scarlet Herrarte Fornos |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
Mycoplasma pneumoniae community-acquired pneumonia Mononucleosis 030106 microbiology atypical pneumonia lcsh:Medicine Case Report medicine.disease_cause Hypoxemia 03 medical and health sciences bacterial and viral co-infection 0302 clinical medicine Community-acquired pneumonia hemic and lymphatic diseases atypical lymphocytosis Medicine non-exudative pharyngitis elevated serum transaminases business.industry lcsh:R General Medicine medicine.disease Epstein–Barr virus Pharyngitis respiratory tract diseases Pneumonia 030228 respiratory system Atypical pneumonia cold agglutinins Immunology medicine.symptom business |
| Zdroj: | Journal of Clinical Medicine Journal of Clinical Medicine, Vol 6, Iss 9, p 83 (2017) |
| ISSN: | 2077-0383 |
| Popis: | Clinically, in young immunocompetent adults, Epstein-Barr virus (EBV) usually manifests as infectious mononucleosis (IM). Typical clinical findings of EBV IM include fever, profound fatigue, pharyngitis, bilateral posterior cervical adenopathy, and splenomegaly. Respiratory involvement with EBV IM may occur, but is distinctly rare. We present a case of a 20 year old female who with classic EBV IM, but was inexplicably dyspneic and hypoxemic. Further diagnostic testing confirmed co-infection with Mycoplasma pneumoniae. As a non-zoonotic atypical community-acquired pneumonia (CAP), M. pneumoniae may rarely be accompanied by severe hypoxemia and even acute respiratory distress syndrome. She represented a diagnostic dilemma regarding the cause of her hypoxemia, i.e., due to EBV IM with pulmonary involvement or severe M. pneumoniae CAP. The patient slowly recovered with respiratory quinolone therapy. |
| Databáze: | OpenAIRE |
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