Acute Epstein-Barr virus hepatitis presenting clinically as ascending cholangitis in an immunocompetent patient

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dc.contributor.authorColbran, Rachelen_US
dc.contributor.authorNg, Jessicaen_US
dc.date.accessioned2020-11-18T10:03:46Z
dc.date.available2020-11-18T10:03:46Z
dc.date.issued2020-02
dc.description.abstractSymptomatic acute Epstein-Barr virus (EBV) hepatitis, without associated infectious mononucleosis syndrome, is exceptionally rare. A 30-year-old female presented to hospital with jaundice, fevers, and right upper quadrant abdominal pain. Her blood tests demonstrated marked hyperbilirubinemia and mild global liver function test abnormalities consistent with obstructive jaundice.  Preliminary imaging with ultrasound showed gallbladder wall thickening and cholelithiasis, suggestive of potential cholecystitis. Authors were concerned for potential ascending cholangitis in the setting of her hyperbilirubinemia. The diagnosis was refuted after magnetic resonance cholangiopancreatography demonstrated no choledocholithiasis. A hepatic panel was performed which revealed positive EBV IgM serology. This case highlights the importance of considering EBV hepatitis as a potential differential diagnosis in patients with right upper quadrant pain, fevers and jaundice in the absence of an obstructing cause.en_US
dc.identifier.affiliationsDepartment of General Surgery, Ipswich Hospital, Ipswich, Queensland, Australiaen_US
dc.identifier.citationColbran Rachel, Ng Jessica. Acute Epstein-Barr virus hepatitis presenting clinically as ascending cholangitis in an immunocompetent patient. International Surgery Journal. 2020 Feb; 7(2): 563-566en_US
dc.identifier.issn2349-3305
dc.identifier.issn2349-2902
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/212675
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber2en_US
dc.relation.volume7en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-2902.isj20200316en_US
dc.subjectCholestatic jaundiceen_US
dc.subjectEpstein-Barr virusen_US
dc.subjectHepatitisen_US
dc.subjectJaundiceen_US
dc.titleAcute Epstein-Barr virus hepatitis presenting clinically as ascending cholangitis in an immunocompetent patienten_US
dc.typeJournal Articleen_US
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