Garrelfs Mark R, Romeijn Jeroen R M, Heynens Jan W C M
Zuyderland Medisch Centrum, afd. Kindergeneeskunde, Sittard.
Ned Tijdschr Geneeskd. 2015;159:A9405.
An 11-year-old girl was seen with painless, bilateral periorbital edema, that had appeared a week before presentation. Additional symptoms included fever, headache and malaise. Serological tests performed three days later showed an active Epstein-Barr virus infection, which provided the diagnosis 'Pfeiffer's disease'. Bilateral periorbital edema can be the presenting manifestation of Epstein-Barr virus infection and should therefore be included in its differential diagnosis.
一名11岁女孩就诊时出现无痛性双侧眶周水肿，该症状在就诊前一周出现。其他症状包括发热、头痛和不适。三天后进行的血清学检测显示为活动性EB病毒感染，由此诊断为“传染性单核细胞增多症”。双侧眶周水肿可能是EB病毒感染的首发表现，因此应列入其鉴别诊断范围。
