Acute Acalculous Cholecystitis as a Rare Initial Presentation of Epstein-Barr Virus Infection in an Immunocompetent Adult Female
Abstract
Epstein-Barr virus (EBV) infection is a self-limited disease usually characterized by a sore throat, fever, and lymphadenopathy. Mild to moderate hepatitis may also occur during the course of the infection. The disease is very rarely complicated with acalculous cholecystitis. Herein, we report a 22-year-old immunocompetent female patient who initially presented with fever and moderate abdominal pain that was revealed to be due to acute acalculous cholecystitis. The EBV infection was diagnosed both clinically and serologically. Typical findings of sore throat and cervical lymphadenopathy appeared later the fifth day of admission. In this case report, the patient was treated conservatively, without surgery. Atypical presentation, inverse timing of clinical manifestations, and the conservative management of acalculous cholecystitis in contrast to critically ill patients’ acalculous cholecystitis management are noteworthy for both surgeons and internists to be aware of.
Keywords
Epstein-Barr Virus Infection, acalculous cholecystitis, viral hepatitis
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