AI Article Synopsis
- Infectious mononucleosis (IM) is a viral illness caused by the Epstein-Barr virus, often showing symptoms like sore throat, swollen lymph nodes, and fatigue.
- The case discusses an 18-year-old girl who showed abdominal pain and cough; initial tests hinted at possible appendicitis, leading to further examinations revealing symptoms of IM.
- Ultimately, her severe abdominal pain and positive monospot test resulted in her getting an appendectomy, highlighting the importance of detailed medical history and examination for identifying unusual causes in appendicitis cases.
Article Abstract
Infectious mononucleosis (IM) is a viral illness caused by the Epstein-Barr virus that typically manifests with pharyngitis, lymphadenopathy, and fatigue. In rare cases, IM can cause acute appendicitis. We present the case of an 18-year-old female who arrived at the emergency department with worsening abdominal pain and an ongoing cough. Initial imaging showed a questionably dilated appendix, and a follow-up examination revealed cervical lymphadenopathy. She later returned to the ED with severe abdominal pain, clinical signs of acute appendicitis, and a positive monospot test, which led to an appendectomy. This case illustrates the need for complete history taking and thorough physical examination in patients with acute appendicitis, as their condition may be due to an atypical underlying cause.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11222108 | PMC |
| http://dx.doi.org/10.7759/cureus.61619 | DOI Listing |
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