没有典型单核病症状和吉尔伯特综合征的青少年爱斯坦-巴尔病毒肝炎:一个病例报告
Roy L Dennis1,2, Dean Hasan2, Krista Jackson3
1Internal Medicine, Grand Strand Medical Center, Myrtle Beach, USA.
Cureus
|November 20, 2024
概括
爱斯坦-巴尔病毒 (EBV) 可以引起肝炎,即使具有胆固醇特征,这是罕见的. 这个案例突出了诊断和管理EBV肝炎在一个年轻的男性呈现黄和异常的肝功能测试.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 病毒学 病毒学
- 儿科胃肠病学 儿科胃肠病学
背景情况:
- 爱斯坦-巴尔病毒 (EBV) 是一种常见的人类疹病毒,与各种临床表现有关,包括传染性单核病.
- 虽然EBV可以导致肝酶和高白血症的暂时升高,但它很少表现为严重的肝炎,特别是胆固醇特征.
- 早期诊断和管理EBV相关并发症至关重要,特别是在儿科患者中.
研究的目的:
- 报告一个罕见的Epstein-Barr病毒肝炎与胆固醇特征的15岁男性病例.
- 为了说明EBV肝炎异常呈现的诊断过程和管理策略.
- 强调在青少年肝炎的差异诊断中考虑EBV的重要性.
主要方法:
- 一个15岁男孩的病例报告显示,他患有黄,,腹痛和发烧.
- 实验室调查,包括转氨酶水平,凝血研究和血小板缺血评估.
- 临床监测和支持性治疗,包括静脉注射维生素K.
主要成果:
- 患者出现了黄,高氨酸酶,异常凝血和血栓塞缩症,表明肝功能障碍.
- 艾普斯坦-巴尔病毒肝炎的诊断得到证实.
- 支持性治疗和维生素K的使用导致了凝血病的解决.
结论:
- 爱斯坦-巴尔病毒肝炎可以表现为胆固醇的特征,偏离典型的呈现.
- 诊断非典型的EBV肝炎需要一个高的怀疑指数和全面的工作.
- 及时管理,包括支持性护理和特殊干预措施,如维生素K,可以有效地解决像凝血病这样的并发症.
相关概念视频
Diseases of the Liver and Gallbladder
2.1K
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
2.1K
Endocarditis II: Clinical Features of Infective Endocarditis
953
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
953
Myocarditis II: Clinical Features and Diagnostic Tests
497
Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
497
Arboviral Encephalitis
70
Arboviral encephalitis refers to brain inflammation caused by arthropod-borne viruses, particularly those transmitted through mosquito vectors. Among these, West Nile virus (WNV), a member of the Flaviviridae family, is a significant public health concern. WNV is an enveloped, positive-sense, single-stranded RNA virus. Human infection typically begins when an infected mosquito introduces the virus into the dermis during feeding. The primary transmission cycle involves birds as amplifying hosts...
70
Hepatitis
99
Hepatitis is an inflammatory condition of the liver most commonly caused by hepatotropic viruses (A–E), though non-infectious causes such as alcohol and drugs also exist.Hepatitis AHepatitis A virus (HAV) is a non-enveloped RNA virus of the Picornaviridae family. It is primarily transmitted via the fecal-oral route, typically through ingestion of contaminated food or water. After ingestion, HAV enters the bloodstream through the oropharynx or intestinal epithelium and reaches the liver.
99
Viral Hepatitis I: Introduction
28
Viral hepatitis is an inflammatory condition of the liver caused by infection with hepatotropic viruses, most commonly hepatitis A, B, C, D, and E. Despite variations in structure and transmission, all viruses mentioned infect hepatocytes and provoke immune responses that can hinder liver function. Additionally, some non-hepatotropic viruses can also lead to hepatic inflammation.Hepatitis A VirusHepatitis A virus (HAV) is transmitted through the fecal–oral route, typically by ingestion...
28


