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A rare presentation of infectious mononucleosis: cholestatic hepatitis with hyperbilirubinemia.

Germs

March 2023

MD, FACP, FIDSA, Department of Medicine, Thomas Mackey Center for Infectious Disease Research, Ascension St. John Hospital. 22101 Moross Rd, Grosse Pointe Woods, MI 48236, USA.

Introduction: Epstein-Barr virus infection with mononucleosis is the most common presentation in young adults. Most infections are self-limited, although in a few cases complications can include serious conditions such as lymphoproliferative disorders or in less severe cases, mild hepatitis.

Case Report: We present an unusual case of a young male with no liver disease, who presented with markedly elevated cholestatic pattern hyperbilirubinemia, as well as hepatitis.

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