Chowdhury Nusrat Ahmed, Rahman Shadman Sakib, Nnamani Nnaemeka, Taiwo Denis
Medicine, Medway NHS Foundation Trust, Gillingham, GBR.
Cureus. 2025 Jul 21;17(7):e88403. doi: 10.7759/cureus.88403. eCollection 2025 Jul.
Epstein-Barr virus (EBV)-associated infectious mononucleosis (IM) is a common condition worldwide; however, presenting with severe neutropenia is not something encountered very often. We report such a rare case, where a 19-year-old male patient presented with typical features of mononucleosis and a neutrophil count as low as 0.2 × 10/L. Diagnostic investigations confirmed an EBV infection, while ruling out any hematological or vascular disorder. To reduce the risk of nosocomial infections, it was decided to monitor the patient by remote electronic devices from the comfort of his home under the care of a virtual ward, aiming for full recovery over time. He received his intravenous (IV) antibiotics at home, and alternate-day blood tests showed a gradual and spontaneous rise in his neutrophil count back to baseline levels without any complications. This case highlights the promising role of virtual wards in reducing hospitalization while ensuring patient safety and effective management, particularly when prolonged hospital stay poses added infection risks.
爱泼斯坦-巴尔病毒（EBV）相关的传染性单核细胞增多症（IM）在全球范围内是一种常见病症；然而，表现为严重中性粒细胞减少症的情况并不常见。我们报告了这样一例罕见病例，一名19岁男性患者表现出典型的单核细胞增多症特征，中性粒细胞计数低至0.2×10⁹/L。诊断性检查证实为EBV感染，同时排除了任何血液学或血管疾病。为降低医院感染风险，决定在虚拟病房的护理下，让患者在家中通过远程电子设备进行监测，以期随着时间推移完全康复。他在家中接受静脉抗生素治疗，隔日血液检查显示其中性粒细胞计数逐渐自发回升至基线水平，且无任何并发症。该病例凸显了虚拟病房在减少住院时间同时确保患者安全和有效管理方面的积极作用，尤其是在延长住院时间会带来额外感染风险的情况下。
