Lam Grace Y, Chan Adrienne K, Powis Jeff E
Department of Infectious Diseases, Toronto East General Hospital, 825 Coxwell Ave, Toronto, ON, M4C 3E7, Canada.
J Med Case Rep. 2014 Nov 30;8:396. doi: 10.1186/1752-1947-8-396.
Spontaneous atraumatic splenic rupture is a rare but dramatic occurrence that is most commonly attributed to infection or neoplasia. Deciphering the etiology can be challenging with many cases remaining unclear despite full investigation.
We report the case of a previously healthy and immunocompetent 52-year-old Caucasian woman with a remote history of clinically diagnosed infectious mononucleosis who experienced sudden atraumatic splenic rupture after an untreated stray cat bite.
The differential diagnosis for atraumatic splenic rupture, specifically its infectious causes, is reviewed. Key clinical and laboratory findings that differentiate Bartonella henselae infection and Epstein-Barr virus reinfection are reviewed.
自发性非创伤性脾破裂是一种罕见但严重的情况，最常见的原因是感染或肿瘤。尽管进行了全面调查，但许多病例的病因仍不明确，因此解读病因可能具有挑战性。
我们报告了一例病例，一名52岁、既往健康且免疫功能正常的白种女性，有临床诊断传染性单核细胞增多症的既往史，在被一只未处理的流浪猫咬伤后发生了突然的非创伤性脾破裂。
回顾了非创伤性脾破裂的鉴别诊断，特别是其感染性病因。回顾了区分汉赛巴尔通体感染和爱泼斯坦-巴尔病毒再感染的关键临床和实验室检查结果。
