Epstein–Barr Virus-Induced Acute Hepatitis, Pancreatitis, and Pneumonitis in a Young Immunocompetent Adult: A Case Report

Author:

Fiani Elias1,Challita Rafca2,Badawaki Hanaa3,Soukarieh Khaled4,Kyriakos Saad Melissa5,Saikaly Elias5

Affiliation:

1. Department of Gastroenterology, Saint Georges Hospital University Medical Centre, University of Balamand, Beirut, Lebanon

2. Department of Rheumatology, Saint Georges Hospital University Medical Centre, University of Balamand, Beirut, Lebanon

3. Department of Nephrology, Geitawi Lebanese Hospital Medical Center, Lebanese University, Beirut, Lebanon

4. Internal Medicine Department, Al Zahraa Hospital University Medical Center, Lebanese University, Beirut, Lebanon

5. Department of General Surgery, Saint Georges Hospital University Medical Center, University of Balamand, Beirut, Lebanon

Abstract

Epstein–Barr virus (EBV) is a common herpes virus (human herpesvirus type 4) that usually manifests as infectious mononucleosis or persists asymptomatically for life. EBV can also be associated with different types of malignancy such as T cell lymphoma, B cell lymphoma, Hodgkin lymphoma, and oropharyngeal squamous cell and nasopharyngeal carcinoma. Pneumonia is a very rare complication of EBV infection, but it has been reported to occur even in the absence of mononucleosis. This article highlights the case of 35-year-old female who developed acute pancreatitis and acute respiratory failure related to EBV infection. The patient progressively recovered on antiviral therapy and steroids.

Publisher

European Medical Group

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