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Published on: March 30, 2018
A Lethal Manifestation of Chronic Active Epstein-Barr Virus Infection: A Case Report
Yousef Alotaibi1, Mahdi Albogami1, Abdulrahman Alsaedy2
1College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.
Insights
Chronic active Epstein-Barr virus (CAEBV) infection is a rare, lethal condition. Early diagnosis is crucial for managing severe complications like organ failure, despite challenging symptoms.
Area of Science:
- Infectious Diseases
- Virology
- Immunology
Background:
- Chronic active Epstein-Barr virus (CAEBV) infection is a rare and severe condition.
- Persistent Epstein-Barr virus (EBV) infection leads to life-threatening complications.
- Early diagnosis of CAEBV is critical for effective treatment.
Observation:
- A case of CAEBV in a 59-year-old woman from Saudi Arabia is presented.
- The patient experienced symptoms including fever, lymphadenopathy, and hepatosplenomegaly.
- The case details the patient's hospital course, clinical, and pathological findings.
Findings:
- CAEBV can manifest with diverse clinical symptoms, complicating diagnosis.
- Potential severe outcomes include organ failure, hemophagocytic syndrome, and coagulopathy.
- This report highlights a rare occurrence of CAEBV in Saudi Arabia.
Implications:
- Increased awareness of CAEBV symptoms is needed for earlier detection.
- Further research into CAEBV pathogenesis and treatment is warranted.
- This case contributes to the limited literature on CAEBV, particularly in the Middle East.
Abstract:
Chronic active Epstein-Barr virus infection (CAEBV) is a rare and lethal condition caused by persistent Epstein-Barr virus (EBV) infection. Signs and symptoms of CAEBV infection include fever, lymphadenopathy, and hepatosplenomegaly. Due to life-threatening consequences such as multiple organ failure, hemophagocytic syndrome, EBV-positive lymphoproliferative illness, and coagulopathy, early identification is important for successful therapy. However, because of the wide range of clinical symptoms, it might be difficult to diagnose the disease due to limited clinical experience and a low number of reports. We report a case of CAEBV in a 59-year-old woman from Saudi Arabia. We present the hospital course of the patient from admission until the patient's death as well as the clinical and pathological findings with a review of the literature. This is a rare case of CAEBV in Saudi Arabia.
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