AI Article Synopsis
- The Epstein-Barr virus (EBV), common worldwide, often causes infectious mononucleosis, which can be asymptomatic or present with fever, throat inflammation, and swollen lymph nodes.
- A rare complication of this infection is acute acalculous cholecystitis, a serious inflammation of the gallbladder that can occur due to insufficient blood supply and bile flow.
- A case study of a 21-year-old woman with this condition underscores the need for careful evaluation of liver tests and white blood cell counts alongside imaging to improve diagnosis and treatment of EBV-related complications.
Article Abstract
The Epstein-Barr virus (also known as EBV), responsible for infectious mononucleosis, is a virus that infects the majority of the world's population. Infection occurs in several forms, most often asymptomatic, or as a fever accompanied by pharyngitis and lymphadenopathies. A rare complication of infectious mononucleosis is acute acalculous cholecystitis, an inflammation of the gallbladder characterized by ischaemia and severe cholestasis. The diagnosis of this pathology is made by imaging, but determining the cause may be tricky. We present here the case of acute acalculous cholecystitis in a 21-year-old woman. This case highlights a rare complication of EBV infection that is probably under-diagnosed, and demonstrates the usefulness of interpreting liver tests and leukocyte count in association with imaging findings.
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