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Unveiling the Puzzle: Reactivated Epstein-Barr Virus-Associated Pancreatitis in a Young Adult
Michael K Coffin1, Michael Zatoulovski1, Zulfiya Tashpulatova1
1Family Medicine, William Carey University College of Osteopathic Medicine, Hattiesburg, USA.
Abstract:
Epstein-Barr virus (EBV) is a rare cause of acute pancreatitis, with only 17 cases reported in the literature. We describe a 25-year-old male patient with recurrent pancreatitis, ultimately attributed to EBV reactivation. The initial presentation included severe epigastric pain, elevated lipase levels, and unremarkable imaging. A subsequent episode revealed diffuse pancreatic inflammation on MRI and positive Epstein-Barr nuclear antigen, confirming the diagnosis. Other common etiologies, including alcohol use, gallstones, and genetic predisposition, were ruled out. The patient was successfully managed with supportive care. This case highlights the diagnostic challenges of EBV-related pancreatitis and underscores the importance of considering viral etiologies in recurrent pancreatitis cases.
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