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An insidious case of infectious mononucleosis presenting with acute appendicitis diagnosed postoperatively: a case report
Infectious mononucleosis (IM) is a syndrome caused by the Epstein-Barr virus. IM typically presents with fever, pharyngitis and lymphadenopathy. Rarely, it can cause acute appendicitis. We report the case of a 19-year-old female presenting with a chief complaint of colicky, non-radiating abdominal p...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7947984/ https://www.ncbi.nlm.nih.gov/pubmed/33732427 http://dx.doi.org/10.1093/jscr/rjab039 |
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author | AlMudaiheem, Faisal A Alhabdan, Sultan Alhalafi, Mohammed S Alshieban, Saeed |
author_facet | AlMudaiheem, Faisal A Alhabdan, Sultan Alhalafi, Mohammed S Alshieban, Saeed |
author_sort | AlMudaiheem, Faisal A |
collection | PubMed |
description | Infectious mononucleosis (IM) is a syndrome caused by the Epstein-Barr virus. IM typically presents with fever, pharyngitis and lymphadenopathy. Rarely, it can cause acute appendicitis. We report the case of a 19-year-old female presenting with a chief complaint of colicky, non-radiating abdominal pain for 2 days. Abdominal examination revealed rebound tenderness in right iliac fossa tenderness and splenomegaly. The diagnosis of acute appendicitis was confirmed by computed tomography. She underwent laparoscopic appendectomy and mesenteric lymph node biopsy. She was later diagnosed with IM based on laboratory findings and histopathology results. She received a course of intravenous acyclovir and was discharged. This shows that IM may present with acute appendicitis as the initial presentation and may not be accompanied by any other significant symptoms of IM. |
format | Online Article Text |
id | pubmed-7947984 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-79479842021-03-16 An insidious case of infectious mononucleosis presenting with acute appendicitis diagnosed postoperatively: a case report AlMudaiheem, Faisal A Alhabdan, Sultan Alhalafi, Mohammed S Alshieban, Saeed J Surg Case Rep Case Report Infectious mononucleosis (IM) is a syndrome caused by the Epstein-Barr virus. IM typically presents with fever, pharyngitis and lymphadenopathy. Rarely, it can cause acute appendicitis. We report the case of a 19-year-old female presenting with a chief complaint of colicky, non-radiating abdominal pain for 2 days. Abdominal examination revealed rebound tenderness in right iliac fossa tenderness and splenomegaly. The diagnosis of acute appendicitis was confirmed by computed tomography. She underwent laparoscopic appendectomy and mesenteric lymph node biopsy. She was later diagnosed with IM based on laboratory findings and histopathology results. She received a course of intravenous acyclovir and was discharged. This shows that IM may present with acute appendicitis as the initial presentation and may not be accompanied by any other significant symptoms of IM. Oxford University Press 2021-03-08 /pmc/articles/PMC7947984/ /pubmed/33732427 http://dx.doi.org/10.1093/jscr/rjab039 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2021. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report AlMudaiheem, Faisal A Alhabdan, Sultan Alhalafi, Mohammed S Alshieban, Saeed An insidious case of infectious mononucleosis presenting with acute appendicitis diagnosed postoperatively: a case report |
title | An insidious case of infectious mononucleosis presenting with acute appendicitis diagnosed postoperatively: a case report |
title_full | An insidious case of infectious mononucleosis presenting with acute appendicitis diagnosed postoperatively: a case report |
title_fullStr | An insidious case of infectious mononucleosis presenting with acute appendicitis diagnosed postoperatively: a case report |
title_full_unstemmed | An insidious case of infectious mononucleosis presenting with acute appendicitis diagnosed postoperatively: a case report |
title_short | An insidious case of infectious mononucleosis presenting with acute appendicitis diagnosed postoperatively: a case report |
title_sort | insidious case of infectious mononucleosis presenting with acute appendicitis diagnosed postoperatively: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7947984/ https://www.ncbi.nlm.nih.gov/pubmed/33732427 http://dx.doi.org/10.1093/jscr/rjab039 |
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