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Published on: March 30, 2018
[Subclinical course of Epstein-Barr virus infection in infants with transient hepatitis]
1Institut für Virologie und Immunbiologie, Universität Würzburg.
Insights
Primary Epstein-Barr Virus (EBV) infection in infants can cause mild symptoms. This case highlights a rare instance where EBV infection in infancy presented as transient hepatitis with elevated liver enzymes.
Area of Science:
- Pediatric Infectious Diseases
- Hepatology
- Virology
Background:
- Epstein-Barr Virus (EBV) is a common human herpesvirus.
- Primary EBV infections typically manifest as infectious mononucleosis in adolescents and young adults.
- In infants and young children, EBV infections are often asymptomatic or present with mild, non-specific symptoms.
Observation:
- A case of primary EBV infection in an infant is presented.
- The infant experienced clinically inapparent infection initially.
- Pathological elevation of liver enzymes was observed, indicating liver involvement.
Findings:
- The infant's primary EBV infection resulted in transient hepatitis.
- Elevated liver enzymes were the key indicator of hepatic involvement.
- This presentation is atypical for EBV in early childhood.
Implications:
- This case expands the spectrum of clinical presentations for primary EBV infection in infancy.
- It underscores the importance of considering EBV in the differential diagnosis of hepatitis in infants.
- Further research may elucidate the mechanisms behind EBV-associated hepatitis in this age group.
Abstract:
Epstein-Barr-Virus-(EBV)-infections are well known to cause acute infectious mononucleosis in adolescents and young adults. However in early infancy and childhood these infections are usually mild and clinically inapparent. In the following we describe a case of a primary EBV-infection in infancy, which led to a transient hepatitis, identified by pathologically elevated liver enzymes.
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