Fatal Epstein-Barr Virus Primo Infection in a 25-Year-Old Man Treated with Azathioprine for Crohn's Disease

Author:

N'Guyen Y.1,Andreoletti L.2,Patey M.3,Lecoq-Lafon C.4,Cornillet P.5,Léon A.6,Jaussaud R.1,Fieschi C.7,Strady C.1

Affiliation:

1. Service de Médicine Interne et des Maladies Infectieuses, Hôpital Robert Debré-CHU Reims, Reims, France

2. Laboratoire de Virologie Médicale et Moléculaire, EA4303/IFR53, CHU Reims, Hôpital Robert Debré, Reims, France

3. Laboratoire d'Anatomo-pathologie, Hôpital Robert Debré-CHU Reims, Avenue du Général Koenig, Reims, France

4. Laboratoire d'Hématologie, Hôpital Robert Debré-CHU Reims, Avenue du Général Koenig, Reims, France

5. Laboratoire de Cytogénétique, Hôpital Maison-Blanche-CHU Reims, Reims, France

6. Département d'Anesthésie-Réanimation, Hôpital Robert Debré-CHU Reims, Reims, France

7. Unité d'Immunopathologie, Département d'Immunologie Clinique, EA3963 Centre Hayem, Hôpital Saint Louis, 75010 Paris, France

Abstract

ABSTRACT We report a case of Epstein-Barr virus (EBV) primo infection with the development of successive infectious mononucleosis, hemophagocytic lymphohistiocytosis, and B-cell lymphoproliferative disorder in a patient treated with azathioprine for Crohn's disease. This case report suggests that specific EBV-related clinical and virological management should be considered when treating a patient with inflammatory bowel disease with azathioprine.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

Reference17 articles.

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4. Farrell, R. J., Y. Ang, P. Kileen, D. S. O'Briain, D. Kelleher, P. W. Keeling, and D. G. Weir. 2000. Increased incidence of non-Hodgkin's lymphoma in inflammatory bowel disease patients on immunosuppressive therapy but overall risk is low. Gut47:514-519.

5. Garrido Serrano, A., F. Pérez Martín, F. J. Guerrero Igea, J. Galbarro Muñoz, and S. Palomo Gil. 2000. Fatal infectious mononucleosis during azathioprine treatment in Crohn's disease. Gastroenterol. Hepatol.23:7-8. (In Spanish.)

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