Diop Coumba, Pironet Marie, Descy Julie, Mistretta Virginie, Perugini Pierre
Laboratoire de Biologie Clinique, Clinique André Renard, Herstal, Belgique.
Service des Urgences, Clinique André Renard, Herstal, Belgique.
Rev Med Liege. 2024 Jul;79(7-8):485-488.
The Epstein-Barr virus (also known as EBV), responsible for infectious mononucleosis, is a virus that infects the majority of the world's population. Infection occurs in several forms, most often asymptomatic, or as a fever accompanied by pharyngitis and lymphadenopathies. A rare complication of infectious mononucleosis is acute acalculous cholecystitis, an inflammation of the gallbladder characterized by ischaemia and severe cholestasis. The diagnosis of this pathology is made by imaging, but determining the cause may be tricky. We present here the case of acute acalculous cholecystitis in a 21-year-old woman. This case highlights a rare complication of EBV infection that is probably under-diagnosed, and demonstrates the usefulness of interpreting liver tests and leukocyte count in association with imaging findings.
爱泼斯坦-巴尔病毒（也称为EBV）是一种可引发传染性单核细胞增多症的病毒，它感染了世界上大多数人口。感染有多种形式，最常见的是无症状感染，或者表现为伴有咽炎和淋巴结病的发热。传染性单核细胞增多症的一种罕见并发症是急性非结石性胆囊炎，即一种以缺血和严重胆汁淤积为特征的胆囊炎症。这种病症通过影像学进行诊断，但确定病因可能颇具难度。我们在此呈现一名21岁女性急性非结石性胆囊炎的病例。该病例凸显了EBV感染一种可能未被充分诊断的罕见并发症，并证明了结合影像学检查结果解读肝功能检查和白细胞计数的实用性。
