Splenic Infarct: A Rare Presentation in a Pediatric Patient.

Area of Science:

• Pediatrics
• Infectious Diseases
• Hematology

Background:

• Infectious mononucleosis, typically caused by Epstein-Barr virus (EBV), is common in adolescents.
• Splenic complications, such as rupture or infarct, are rare but serious.
• This case involves a previously healthy adolescent male.

Observation:

• The patient presented with acute epigastric pain and left hypochondriac tenderness.
• Physical examination revealed splenomegaly.
• Abdominal CT scan confirmed a splenic infarct.

Findings:

• Laboratory tests were positive for heterophile antibodies and EBV VCA IgM, confirming infectious mononucleosis.
• The splenic infarct occurred in the absence of known co-morbidities.
• This presentation is a rare manifestation of infectious mononucleosis.

Implications:

• Clinicians should consider splenic infarct in adolescents with infectious mononucleosis and abdominal pain.
• Early diagnosis and management are crucial for preventing complications.
• This case underscores the diverse clinical presentations of EBV infection.