scholarly journals Splenic Infarction: An Under-recognized Complication of Infectious Mononucleosis?

2018 ◽  
Vol 5 (3) ◽  
Author(s):  
Yan Li ◽  
Ann George ◽  
Sami Arnaout ◽  
Jennifer P Wang ◽  
George M Abraham
Keyword(s):  
Differential Diagnosis ◽  
Infectious Mononucleosis ◽  
Splenic Rupture ◽  
Rare Complication ◽  
Splenic Infarction ◽  
Close Monitoring ◽  
Potential Complication ◽  
Symptomatic Management

Abstract Splenic infarction is a rare complication of infectious mononucleosis. We describe 3 cases of splenic infarction attributed to infectious mononucleosis that we encountered within a 2-month period. We underscore the awareness of this potential complication of infectious mononucleosis and discuss the differential diagnosis of splenic infarction, including infectious etiologies. While symptomatic management is usually sufficient for infectious mononucleosis-associated splenic infarction, close monitoring for other complications, including splenic rupture, is mandated.

Case Report: Splenic Infarction in Infectious Mononucleosis due to Epstein–Barr Virus Infection

2021 ◽  
Author(s):  
Hiroaki Nishioka ◽  
Katsuma Hayashi ◽  
Hayato Shimizu
Keyword(s):  
Abdominal Pain ◽  
Infectious Mononucleosis ◽  
Epstein Barr Virus ◽  
Rare Complication ◽  
Clinical Syndrome ◽  
Splenic Infarction ◽  
Epstein Barr Virus Infection ◽  
Serological Tests ◽  
Barr Virus ◽  
Epstein Barr

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.

Splenic infarction as a complication of infectious mononucleosis in a patient with no significant comorbidity

2013 ◽  
Vol 24 ◽  
pp. e213-e214
Author(s):  
Eleni Gavriilaki ◽  
Nikolaos Sampanis ◽  
Eleni Paschou ◽  
Savas Grigoriadis ◽  
Anastasios Pavlis ◽  
...  
Keyword(s):  
Infectious Mononucleosis ◽  
Splenic Infarction

1. Fatal Acute Hepatitis in Infectious Mononucleosis in a Forensic Setting

2005 ◽  
Vol 45 (3) ◽  
pp. 261-264 ◽  
Author(s):  
Anny Sauvageau ◽  
Stéphanie Racette
Keyword(s):  
Acute Hepatitis ◽  
Infectious Mononucleosis ◽  
Splenic Rupture ◽  
Upper Airway ◽  
Neurological Complications ◽  
Bleeding Complications ◽  
Respiratory Obstruction ◽  
First Case ◽  
Secondary Infections ◽  
Forensic Setting

Mononucleosis is generally considered a benign, self-limited disease. However, though uncommon, fatal complications are sometimes encountered. Deaths from liver failure, splenic rupture, respiratory obstruction, neurological complications, secondary infections and bleeding complications have been described. In the forensic setting, there are a few reports of sudden and unexplained deaths from splenic rupture and upper airway obstruction. We report here the first case of sudden and unexplained death from acute hepatitis in infectious mononucleosis presenting as a suspicious death.

scholarly journals Splenic rupture associated with thrombocytopenic purpura caused by infectious mononucleosis. Case report

Case reports ◽  
2017 ◽  
Vol 3 (2) ◽  
pp. 70-76
Author(s):  
Alicia Santa Cortes González ◽  
Verónica García Torres ◽  
Rocío Maily Vázquez Martínez ◽  
Uziel Suárez Cruz ◽  
Nataly Yazmín Cortés Trujillo
Keyword(s):  
Case Report ◽  
Infectious Mononucleosis ◽  
Splenic Rupture ◽  
Thrombocytopenic Purpura ◽  
Epstein Barr

Introducción. La rotura esplénica asociada a la presencia de purpura trombocitopénica causada por mononucleosis infecciosa es extremadamente rara; la evolución de los pacientes con mononucleosis infecciosa asociada al virus de Epstein-Barr es benigna y autolimitada y no requiere intervenciones terapéuticas específicas. El cuadro es bien tolerado y tiene una baja frecuencia de complicaciones.Presentación del caso. Paciente femenino de 12 años de edad con dos días de evolución de dolor abdominal difuso, distensión, náuseas, palidez de tegumentos y fiebre no cuantificada, quien a su ingreso al servicio de urgencias muestra datos de descompensación hemodinámica, lesiones purpúricas y manchas equimoticas en extremidades. Se realizan estudios de laboratorio y gabinete que confirman anemia, trombocitopenia y hematoma esplénico, por lo que se practica laparotomía exploradora ante la posibilidad de hemoperitoneo.Resultados. La paciente presenta esplenomegalia, hematoma subcapsular roto con sangrado de 4000mL y lóbulo accesorio de bazo con rotura esplénica.Conclusiones. La rotura espontánea del bazo es una complicación infrecuente pero posible en enfermedades infecciosas; sin embargo su asociación a purpura trombocitopenica es extremadamente rara.

scholarly journals A case of adolescent Kawasaki disease with Epstein-Barr virus-associated infectious mononucleosis complicated by splenic infarction

2009 ◽  
Vol 52 (9) ◽  
pp. 1029
Author(s):  
Byeong Sam Choi ◽  
Bo Sang Kwon ◽  
Gi Beom Kim ◽  
Yoon Kyung Jeon ◽  
Jung-Eun Cheon ◽  
...  
Keyword(s):  
Kawasaki Disease ◽  
Infectious Mononucleosis ◽  
Epstein Barr Virus ◽  
Splenic Infarction ◽  
Barr Virus ◽  
Epstein Barr

scholarly journals Haemorrhagic Corpus Lutem Mimic Appendicitis

1970 ◽  
Vol 37 (2) ◽  
pp. 66-67
Author(s):  
Hasina Afroz ◽  
Rabeya Akhter ◽  
Shahela Jesmin
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Corpus Luteum ◽  
Ovarian Tumor ◽  
Rare Complication ◽  
Lower Abdominal Pain ◽  
Lower Abdomen ◽  
Key Word ◽  
Reproductive Life ◽  
Chocolate Cyst

Haemoperitoneum secondary to ruptured corpus luteum is a rare complication for women of reproductive life. The differential diagnosis of hemoperitoneum includes various types of acute abdomen that usually associated with acute lower abdominal pain and swelling lower abdomen. The differential diagnosis includes ruptured ectopic pregnancy, ruptured chocolate cyst, twisted ovarian tumor, pelvic inflammatory disease and pelvic peritonitis. Ruptured hemorrhagic corpus luteum is an uncommon cause of acute abdomem. Its occurrence is unknown but is likely quite frequent and without symptoms. Most cases are self limiting; enquire only observation with abdominal pain relieved with analgesics. Some need laparoscopy or laparotomy to achieve homeostasis if the patient is haemodynamically unstable. Key word: Haemoperitoneum, Appendicitis, Ruptured Corpus luteum.   DOI: 10.3329/bmj.v37i2.3596 Bangladesh Medical Journal 37(2) 2008 66-67

Diffuse alveolar haemorrhage: a rare complication of clopidogrel use

2021 ◽  
Vol 14 (8) ◽  
pp. e244314
Author(s):  
Rachelle Soriano ◽  
Saud Al-Rawaf ◽  
Khalil Diab
Keyword(s):  
Differential Diagnosis ◽  
Native American ◽  
Rare Complication ◽  
American Woman ◽  
Alveolar Haemorrhage ◽  
High Dose ◽  
Diffuse Alveolar Haemorrhage ◽  
Carotid Artery Stent ◽  
Hypoxic Respiratory Failure ◽  
Work Up

Diffuse alveolar haemorrhage (DAH) has been reported as a rare complication of clopidogrel use and is usually a diagnosis of exclusion. We describe the case of an 88-year-old Native American woman who presented with acute hypoxic respiratory failure with CT scan of the chest showing diffuse bilateral ground-glass opacities. She had been on clopidogrel for 6 months for a carotid artery stent. Bronchoscopy with bronchoalveolar lavage and transbronchial biopsies revealed DAH. Infectious and autoimmune work-up were all negative. Clopidogrel was stopped and high-dose steroids were started. Her symptoms gradually improved until she was discharged from the hospital. The differential DAH is broad. Anticoagulant-induced DAH should be part of the differential diagnosis, and is usually a diagnosis of exclusion.

Cutaneous Amebiasis

PEDIATRICS ◽  
1983 ◽  
Vol 71 (4) ◽  
pp. 595-598
Author(s):  
Mary Ellen Rimsza ◽  
Robert A. Berg
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Wall ◽  
Entamoeba Histolytica ◽  
Liver Abscess ◽  
Rare Complication ◽  
Hepatic Abscess ◽  
Amebic Liver Abscess ◽  
Colostomy Site ◽  
Histolytica Infection ◽  
Laparotomy Incision

An infant with cutaneous amebiasis of the vulva and amebic liver abscess is described. Epidemiologic investigations and serologic studies were crucial in establishing the diagnosis. The vulvar amebic ulcers responded dramatically to metronidazole therapy. Cutaneous amebiasis is a rare complication of Entamoeba histolytica infection which should be considered in the differential diagnosis of perineovulvar or penile ulcers. Cutaneous amebiasis may also occur on the abdominal wall surrounding a draining hepatic abscess, colostomy site, or laparotomy incision.

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