急性爱斯坦-巴尔病毒感染中的脏梗塞:成年人罕见但可能未被诊断的并发症
Carlos Tarrazo1, Alba Barragán Mateos1
1Department of Internal Medicine, Hospital Universitario San Agustín, Asturias, Spain.
European journal of case reports in internal medicine
|September 10, 2025
概括
脏梗塞和无菌性脑膜炎是爱斯坦-巴尔病毒 (EBV) 感染的罕见并发症,特别是在成年人中. 这一案例凸显了认识到EBV单核病这种不寻常的表现的重要性.
科学领域:
- 传染性疾病 传染性疾病
- 血液学 血液学 血液学
- 神经学 神经学
背景情况:
- 在埃普斯坦-巴尔病毒 (EBV) 感染中,腹大是常见的.
- 脏梗塞和无菌性脑膜炎是EBV的罕见并发症.
- 在初级EBV中,脏梗塞和无菌性脑膜炎同时发生是非常罕见的.
研究的目的:
- 报告一种罕见的同时发生脏梗塞和无菌性脑膜炎的病例,该病例发生在患有EBV原发性感染的患者身上.
- 为了突出EBV与成年人脏梗塞之间的未被承认的关联.
- 强调考虑EBV单核病的非典型表现的重要性.
主要方法:
- 一个56岁的男性发烧和腹部疼痛的病例报告.
- 诊断工作包括腹部CT,脑脊液分析和EBV的血清/分子检测.
- 进行了对原血栓状况的评估.
主要成果:
- 腹部CT显示脊髓巨变和多次脊髓心脏病发作.
- 患者出现了与无菌性脑膜炎相一致的暂时失调.
- 在多种体液中确认了急性EBV感染;没有发现前血栓状况.
结论:
- 脏梗塞是成年人原发性EBV感染的罕见但被低估的并发症.
- EBV单核病可以呈现异常特征,包括神经参与.
- 对于由于EBV引起的脏梗塞的选定患者,保守的治疗可能是适当的.
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