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Related Experiment Videos

Ruptured splenic abscess secondary to infectious mononucleosis.

K B O'Dell1, R S Gordon

  • 1Department of Emergency Medicine, Gaston Memorial Hospital, Gastonia, North Carolina.

Annals of Emergency Medicine
|September 1, 1992
PubMed
Summary

Infectious mononucleosis can rarely cause splenic abscesses, a serious condition. This case highlights a ruptured splenic abscess as a rare complication of this common viral illness.

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Area of Science:

  • Medicine
  • Infectious Diseases
  • Gastroenterology

Background:

  • Infectious mononucleosis, typically caused by Epstein-Barr virus, is a common viral illness.
  • Splenic abscesses are rare but serious intra-abdominal infections.
  • Complications of infectious mononucleosis can include splenic rupture, but abscess formation is exceptionally uncommon.

Observation:

  • A 24-year-old woman with recent infectious mononucleosis presented with fever and left upper quadrant abdominal pain.
  • Abdominal computed tomography (CT) identified a splenic abscess.
  • Laparotomy confirmed the presence of a ruptured splenic abscess.

Findings:

  • The patient's presentation of fever and left upper quadrant pain was attributed to a splenic abscess.
  • The splenic abscess was found to have ruptured during surgical exploration.

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  • This case represents an unusual etiology for splenic abscess and a rare complication of infectious mononucleosis.

    • Implications:

    • This case underscores the importance of considering splenic complications, including abscess, in patients with infectious mononucleosis, especially with persistent or severe symptoms.
    • Early recognition and management of splenic abscesses are crucial to prevent potentially life-threatening rupture.
    • Further research into the pathogenesis of splenic abscesses secondary to infectious mononucleosis may be warranted.