Hayano Satoshi, Nakada Naruhiko, Kashima Masayuki
Department of Internal Medicine, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan.
Open Forum Infect Dis. 2022 Feb 22;9(4):ofac086. doi: 10.1093/ofid/ofac086. eCollection 2022 Apr.
We herein present the case of a 28-year-old male patient who presented with fever and bilateral upper eyelid edema without other upper airway symptoms and was diagnosed with acute dacryoadenitis due to Epstein-Barr virus (EBV) infection. The patient's medical history was unremarkable. Laboratory tests revealed lymphocytosis with atypical lymphocytes and abnormal liver function tests. Physical examination and computed tomography revealed swelling in the lacrimal glands, and serological tests confirmed EBV infection. Although rare, ocular symptoms of primary EBV infection are important for diagnosis. Acute dacryoadenitis should be considered as a rare manifestation and an underdiagnosed complication of primary EBV infection.
我们在此报告一例28岁男性患者，该患者出现发热及双侧上睑水肿，无其他上呼吸道症状，被诊断为因EB病毒（EBV）感染所致的急性泪腺炎。患者既往病史无特殊。实验室检查显示淋巴细胞增多伴异型淋巴细胞及肝功能检查异常。体格检查及计算机断层扫描显示泪腺肿胀，血清学检查证实EBV感染。虽然罕见，但原发性EBV感染的眼部症状对诊断很重要。急性泪腺炎应被视为原发性EBV感染的一种罕见表现及诊断不足的并发症。
