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Exudative ascites complicating infectious mononucleosis.

A R Marano, S B Lanse, J J Garsten

    The American Journal of Gastroenterology
    |September 1, 1986
    PubMed
    Summary

    Epstein-Barr virus mononucleosis can rarely cause exudative ascites and hepatitis. This case highlights a rare complication of infectious mononucleosis, with symptoms resolving post-infection.

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    Area of Science:

    • Hepatology
    • Virology
    • Gastroenterology

    Background:

    • Infectious mononucleosis, typically caused by Epstein-Barr virus (EBV), is a common viral illness.
    • Hepatitis is a known complication of infectious mononucleosis.
    • Exudative ascites is an uncommon condition often associated with various underlying pathologies.

    Observation:

    • A 22-year-old male presented with symptoms consistent with hepatitis.
    • The patient was diagnosed with infectious mononucleosis.
    • Despite extensive evaluation, including liver biopsy, no alternative cause for the patient's exudative ascites was identified.

    Findings:

    • The patient's exudative ascites and hepatitis resolved spontaneously as the acute infectious mononucleosis infection subsided.
    • No chronic liver disease was evident 12 months post-illness.

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  • This case demonstrates a rare association between Epstein-Barr virus mononucleosis and exudative ascites.

    • Implications:

    • This case expands the differential diagnosis for exudative ascites in patients with acute hepatitis.
    • It underscores the diverse and sometimes unusual clinical manifestations of Epstein-Barr virus infections.
    • Further investigation may be warranted to understand the specific mechanisms linking EBV infection to ascites formation.