title: Imaging spectrum of EBV-infection in a young patient.
abstract: A wide variety of atypical presentations with complications affecting multiple organ systems during acute infectious mononucleosis (IM) is described in the literature, with an increase in the number of teenagers who are susceptible to a severe case of the disease. We report a case of a 14-year-old girl with severe IM and acute abdominal pain. Ultrasonographic (US) evaluation showed a marked thickening of the gallbladder wall (GBW) with enlargement of some mesenteric lymph nodes. CT scan showed multiple enlarged lung nodules of various sizes and a small pleural and pericardial effusion; a hypodense solid mass of unknown etiology was detected in the anterior mediastinum, mimicking a malignant tumor. Hematological analysis of peripheral blood smear was performed to exclude neoplastic pathology. IM was identified as the only underlying disease. The patient was carefully monitored: clinical evaluation, laboratory analysis and US examination were repeated at weekly intervals, until recovery.
authors: Department of Pediatrics, Servizio di Ecografia Pediatrica, Università degli Studi "G. d'Annunzio", Chieti, Italy.
authors: P
authors: P
authors: Pelliccia
authors: A
authors: A
authors: Savino
authors: C
authors: C
authors: Cecamore
authors: D
authors: D
authors: Di Marzio
authors: F
authors: F
authors: Chiarelli
authors: A
authors: A
authors: Primavera
authors: C
authors: C
authors: Schiavone
keywords: Adolescents; Gallbladder; Severe EBV-infection; Ultrasonography
references: Br J Radiol. 2003 Feb;76(902):137-43
references: 12642285
references: J Clin Ultrasound. 1987 Oct;15(8):558-60
references: 3134466
references: Lancet. 2003 Apr 5;361(9364):1182
references: 12686041
references: Abdom Imaging. 2004 Nov-Dec;29(6):694-5
references: 15185034
references: J Pediatr Gastroenterol Nutr. 1994 Jul;19(1):123-5
references: 7965464
references: J Clin Microbiol. 2006 May;44(5):1873-4
references: 16672427