title: Acute acalculous cholecystitis during the course of primary Epstein-Barr virus infection: a new case and a review of the literature.
abstract: OBJECTIVE
  The aim of this study was to describe a case of acute acalculous cholecystitis occurring in the course of primary Epstein-Barr virus (EBV) infection.
  
  
  METHODS
  The clinical features of the case were analyzed and compared to those of three other similar cases reported in the international literature.
  
  
  RESULTS
  All cases occurred in European females with cholestatic hepatitis, presented with gallbladder wall thickening, and recovered uneventfully without the need for surgical intervention.
  
  
  CONCLUSIONS
  Acute acalculous cholecystitis may occur during the course of acute EBV infection, especially in patients with cholestatic hepatitis. Clinicians should be aware of the possible involvement of the gallbladder during EBV infection to avoid unnecessary invasive procedures or the overuse of antibiotics.
authors: AILMI (Associazione Italiana per la Lotta contro le Malattie Infettive; Italian Association for the Control of Infectious Diseases), University of Messina, Messina, Italy.
authors: Chiara
authors: C
authors: Iaria
authors: Lucia
authors: L
authors: Arena
authors: Giovanni
authors: G
authors: Di Maio
authors: Maria Grazia
authors: MG
authors: Fracassi
authors: Maria Silvana
authors: MS
authors: Leonardi
authors: Ciro
authors: C
authors: Famulari
authors: Antonio
authors: A
authors: Cascio
mesh_terms: D042101:Acalculous Cholecystitis / Q000150:complications* / Q000821:virology; D000293:Adolescent; D000328:Adult; D020031:Epstein-Barr Virus Infections / Q000150:complications*; D005260:Female; D006801:Humans; D008875:Middle Aged