Affiliation:
1. Privolzhsky Research Medical University
2. 422 military hospital
Abstract
This clinical case describes a rare clinical complication of infectious mononucleosis associated with Epstein-Barr virus in a 19-year-old patient. The current literature sources; medical history; examination data and discharge epicrisis of the patient are analyzed. Rupture of the spleen is an extremely rare complication that develops in 1% of patients against the background of infection. At the same time; the diagnosis of the complication is not very difficult – it is necessary to conduct ultrasound of the abdominal organs in dynamics in the event of a rupture clinic (critical days of the disease are especially important – 10-20 days). But due to its rarity; many clinicians forget about the possibility of developing this complication. The main purpose of the work is to attract attention and alertness to the potentially fatal complication of infectious mononucleosis.
Reference9 articles.
1. Infectious diseases: national guidelines / edited by N. D. Yushchuk, Yu. Ya. Vengerov. – 3rd ed., reprint. and add. – Moscow: GEOTAR-Media, 2021. – (Series “National Guides”). – DOI: 10.33029/9704-6122-8-INB-2021-1-1104 -Bibliogr.: 795-803 p.- ISBN 978-5-9704-6122-8.
2. Razgulyaeva A.V., Ukhanova O. P., Bezrodnova S.M. – Modern ideas about the etiology, pathogenesis, clinic and treatment of infectious mononucleosis in children // Nauka. Innovation. Technologies. 2016;15(1):30-34
3. Charlotte Ruth Baker and Sid Kona, “Instantaneous incision of the spleen in a penguin with injectable mononucleosis”, BmJ Clinical Journal, 2019; 12(9): e230259.
4. Toti Y.M., Gatti B., Hunyan I., Kottanattu L., Fare P.B., Renzi S., Bianchetti M.G., Milani G.P., Lava S.G., Camozzi P. Rupture of the spleen or infarction associated with infectious mononucleosis caused by the Epstein-Barr virus: a systematic review of the literature. Swiss Medical Journal Wkly. 2023, May 17;153:40081. doi: 10.57187/smw.2023.40081. Identification number: 37245117.
5. Gatika S., Soffia P., Charles R., Vicentela A. Spontaneous rupture of the spleen secondary to infectious mononucleosis. An overview of the Chilean infection. 2021, April; 38(2):292-296. Spanish. doi: 10.4067/S0716-10182021000200292. Identification number: 34184721. BMJ representative on the case, January 24, 2017;2017:bcr2016218405. doi: 10.1136/bcr-2016-218405. PMID: 28119438; PMCID: PMC5278331.