Journal
ULTRASOUND
Volume 22, Issue 2, Pages 123-125Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/1742271X13513223
Keywords
Epstein-Barr virus infection; acalculous cholecystitis; children; adolescents
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A 14-year-old girl was admitted to hospital with fever, headache, sore throat and abdominal pain. Her blood lymphocyte count and inflammatory markers were raised. Acute Epstein-Barr virus (EBV) infection was suspected and confirmed serologically and by measuring the viral load. On day 7, she developed jaundice with abnormal liver function tests. An abdominal ultrasound scan revealed thickening of the gallbladder and bile duct walls without calculi suggesting acute acalculous cholecystitis. The patient improved slowly with symptomatic treatment, and a repeat ultrasound scan six months later was normal. Acalculous cholecystitis is a rare complication of EBV infection and usually has a good prognosis.
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