Herold Jessica, Grimaldo Felipe
Naval Medical Center San Diego, Department of Emergency Medicine, San Diego, California.
Clin Pract Cases Emerg Med. 2020 Jan 21;4(1):69-71. doi: 10.5811/cpcem.2019.10.45049. eCollection 2020 Feb.
Infectious mononucleosis is primarily caused by Epstein-Barr virus (EBV) and is a common diagnosis made in emergency departments worldwide. Subclinical and transient transaminase elevations are a well-established sequela of EBV. However, acute cholestatic hepatitis is a rare complication. EBV infection should be considered as part of the differential diagnosis in patients with an obstructive pattern on liver function tests without evidence of biliary obstruction demonstrated on advanced imaging.
传染性单核细胞增多症主要由EB病毒（EBV）引起，是全球急诊科常见的诊断疾病。亚临床和短暂性转氨酶升高是EBV公认的后遗症。然而，急性胆汁淤积性肝炎是一种罕见的并发症。对于肝功能检查呈梗阻性模式但高级影像学检查未显示胆道梗阻证据的患者，应将EBV感染视为鉴别诊断的一部分。
