A case of infectious mononucleosis complicated with spontaneous atraumatic splenic rapture caused by Epstein-Barr virus infection

被引：4

作者：

Lu, Qiliang ^{[1
,2
]}

Fu, Wen ^{[1
,2
]}

Ouyang, Guangxiong ^{[1
,2
]}

Xu, Qiuran ^{[2
]}

Huang, Dongsheng ^{[2
]}

机构：

[1] Qingdao Univ, Qingdao Med Coll, Qingdao, Peoples R China

[2] Zhejiang Prov Peoples Hosp, Key Lab Tumor Mol Diag & Individualized Med Zheji, Affiliated Peoples Hosp, Hangzhou Med Coll, Hangzhou 310000, Peoples R China

来源：

JOURNAL OF MEDICAL VIROLOGY | 2022年 / 94卷 / 12期

基金：

中国国家自然科学基金;

关键词：

Epstein-Barr virus; infection; splenic rupture; lymphocyte; RUPTURE;

D O I：

10.1002/jmv.28083

中图分类号：

Q93 [微生物学];

学科分类号：

071005 ; 100705 ;

摘要：

Splenic rupture is the most serious complication of infectious mononucleosis (IM) caused by Epstein-Barr virus (EBV) infection, with a mortality rate of over 1 in 10. We reported a case of spontaneous atraumatic splenic rupture secondary to IM in a young man. The patient presented with abdominal pain caused by splenic rupture as the initial symptom. The diagnosis and treatment process went through a series of twists and turns, including the emergency department, general surgery department, and infection department. This case suggests that clinicians should consider the possibility of EBV infection in young patients with spleen rupture without obvious cause to avoid misdiagnosis and missed diagnosis.

引用

页码：6127 / 6132

页数：6

共 21 条

[1] Ganciclovir and the treatment of Epstein-Barr virus hepatitis [J].