Pleural Effusion and Ascites in Infectious Mononucleosis

Colebunders, R; Pen, Jiang; Mathijs, R

doi:10.1080/22953337.1983.11718929

Cited by 10 publications

(6 citation statements)

References 1 publication

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“…Severe hepatic dysfunction and fulminant liver failure due to EBV infection occurs mainly in immunocompromised patients. The association of ascites and EBV hepatitis had been reported previously (3–10). However, most of these cases had other complicating factors, which may have contributed to hepatic dysfunction.…”

Section: Discussionsupporting

confidence: 60%

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Primary Epstein‐Barr Virus Hepatitis Complicated by Ascites with Epstein‐Barr Virus Reactivation During Primary Cytomegalovirus Infection

Rajwal,

Davison,

Wyatt

et al. 2003

J. pediatr. gastroenterol. nutr.

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Section: Discussionsupporting

confidence: 60%

“…Although elevated aminotransferase enzymes (up to five times normal) are detected in up to 80% of cases, hepatitis is usually mild and complete recovery is usual (1,2). Ascites is an unusual complication of EBV hepatitis, and in previously reported cases other factors may have contributed to ascites (3–10).…”

mentioning

confidence: 99%

Primary Epstein‐Barr Virus Hepatitis Complicated by Ascites with Epstein‐Barr Virus Reactivation During Primary Cytomegalovirus Infection

Rajwal,

Davison,

Wyatt

et al. 2003

J. pediatr. gastroenterol. nutr.

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“…Previous studies have reported the association between EBV and ascites in pediatrics and young adults 2–4 . However, these patients all had comorbid factors complicating their presentations, such as inherited immune defects, hepatitis, or intravenous drug abuse and heavy drinking.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have reported the association between EBV and ascites in pediatrics and young adults. [2][3][4] However, these patients all had comorbid factors complicating their presentations, such as inherited immune defects, hepatitis, or intravenous drug abuse and heavy drinking. There have been 2 pediatric reports of EBV with ascites in previously healthy children; the first was reported to have hepatitis, and the second was reported to have associated hypoalbuminemia.…”

Section: Discussionmentioning

confidence: 99%

A Pediatric Patient With Ascites, Proteinuria, and Thrombocytopenia

Simpson

Clarkston²,

Ovalle³

et al. 2019

Pediatr Emer Care

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A 7-year-old female patient presented to our pediatric emergency department with 5 days of fever, sore throat, abdominal pain, vomiting, headache, and 2 days of periorbital swelling. Her initial laboratory evaluation revealed a negative monospot test, neutropenia, atypical lymphocytosis, and thrombocytopenia in addition to transaminitis and proteinuria. An abdominal ultrasound obtained identified hepatosplenomegaly, moderate ascites, acalculous cholecystitis, and a distended appendix with periappendiceal fluid. She was admitted to gastroenterology for further management with antibiotics and surgery and hematology consults. Ultimately, Epstein-Barr virus polymerase chain reaction was positive. This case highlights an atypical presentation of Epstein-Barr virus and the collaborative approach to diagnosis.

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“…There have been no other reported cases of EBV reactivation in PEs or even EBV-related PEs with the exception of PEs associated with infectious mononucleosis (ie, EBV primary infection). 10,11 In our 20 cases of PE, three were tested simultaneously for EBV-DNA in serum by PCR, and of these, one such example was found in a patient with culture-positive K pneumoniae (case 16). The precise triggers of EBV reactivation in vivo remain unknown.…”

Section: Discussionmentioning

confidence: 99%