Respiratory Medicine, Wrexham Maelor Hospital, Wrexham, UK
Respiratory Medicine, Wrexham Maelor Hospital, Wrexham, UK.
BMJ Case Rep. 2024 Aug 29;17(8):e259799. doi: 10.1136/bcr-2024-259799.
We present a case of atraumatic splenic rupture secondary to Epstein-Barr virus (EBV) infection in a woman in her early 50s. The patient initially presented with sepsis secondary to pneumonia but then developed abdominal pain and distension. CT revealed splenic rupture with a significant perisplenic hematoma. Laboratory tests confirmed an EBV infection. Owing to frailty, she underwent fluoroscopy-guided splenic artery embolisation. This case highlights the rare risk of splenic rupture following EBV infection, even in the absence of typical symptoms of infectious mononucleosis.
我们报告一例 50 岁出头女性因 Epstein-Barr 病毒（EBV）感染导致非外伤性脾破裂。患者最初表现为肺炎继发脓毒症，随后出现腹痛和腹胀。CT 显示脾破裂伴大量脾周血肿。实验室检查证实 EBV 感染。由于身体虚弱，她接受了透视引导下脾动脉栓塞术。本病例提示 EBV 感染后脾破裂的罕见风险，即使没有传染性单核细胞增多症的典型症状也是如此。
