ID 109599
Author
Suga, Kenichi Department of Pediatrics, Tokushima Prefectural Central Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Shono, Miki Department of Pediatrics, Tokushima Prefectural Central Hospital
Goji, Aya Department of Pediatrics, Tokushima Prefectural Central Hospital Tokushima University Educator and Researcher Directory
Matsuura, Sato Department of Pediatrics, Tokushima Prefectural Central Hospital
Inoue, Miki Department of Pediatrics, Tokushima Prefectural Central Hospital
Kawahito, Masami Department of Pediatrics, Tokushima Prefectural Central Hospital
Mori, Kazuhiro Department of Pediatrics, Tokushima Prefectural Central Hospital
Keywords
acute acalculous cholecystitis
Epstein-Barr virus
infectious mononucleosis
Content Type
Journal Article
Description
Acute acalculous cholecystitis (AAC) is a rare complication of infectious mononucleosis (IM). An immunocompetent 6-year-old Japanese girl complained of epigastralgia during the course of IM. Ultrasonography (US) revealed a markedly thickened and sonolucent gallbladder wall. No gallstones were apparent. Antibodies against Epstein-Barr virus (EBV) confirmed primary EBV infection. Cytomegalovirus immunoglobulin M showed a false-positive result in the acute phase, probably due to cross-reaction to EBV nuclear antigen. We diagnosed her as AAC related with primary EBV infection. She recovered completely by conservative treatment. US should be performed in consideration of the possibility of AAC when a patient with IM complains of epigastralgia.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
61
Issue
3-4
Start Page
426
End Page
429
Sort Key
426
Published Date
2014-08
FullText File
language
eng
TextVersion
Publisher
departments
University Hospital