Persistent high fever and gall-bladder wall thickening in a child with primary Epstein-Barr viral infection.
A 3.5 year old girl presented with a history of high fever, rigors, and mild cough for 1 week. Physical examination revealed normal chest findings but gross hepatomegaly was detected. Liver function tests were abnormal and indicated biliary obstruction. Ultrasonography revealed a distended gall-bladder with increased wall thickness up to 0.6 cm. The diagnosis of primary Epstein-Barr viral infection was eventually made by specific serological study. The patient's fever subsided 2 weeks later and her liver function tests returned to normal 1 month later. Abdominal ultrasonography at this time was normal.
Sung
R Y
RY
Department of Paediatrics, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT.
Peck
R
R
Murray
H G
HG
D000208:Acute Disease; D002675:Child, Preschool; D005260:Female; D005334:Fever / Q000209:etiology; D005704:Gallbladder / Q000473:pathology*; D006525:Hepatitis, Viral, Human / Q000150:complications; D006566:Herpesviridae Infections / Q000150:complications*; D004854:Herpesvirus 4, Human; D006801:Humans; D006984:Hypertrophy; D014463:Ultrasonography