Ann Clin Case Rep | Volume 6, Issue 1 | Case Report | Open Access

Splenic Infarction after Epstein-Barr Virus Infection: Case Report

Ulysse Turrian

Department of Vascular Medicine, Toulouse University Hospital, France

*Correspondance to: Ulysse Turrian 

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We describe a 24-year-old man who was admitted for evaluation of left side abdominal pain. He described asthenia associated with night sweats and an abdominal pain radiating to his left shoulder. He was not febrile. Cervical nodes were palpable symmetrically with exudative pharyngitis. Ultrasound examination and abdominal CT showed a splenomegaly with multiple infarcts, without artery aneurysm, and without artery or vein thrombosis. The presence of high levels of IgM and IgG antibodies directed against the Epstein Barr virus Viral Capsid Antigen (VCA) and a high level of viral charge led to acute infectious mononucleosis. Splenic infarction is a relatively uncommon diagnosis. The etiologies are represented by a thromboembolism origin, by a hemopathy, by a digestive cause, by an infectious cause, by a chronic autoimmune disorder and by a coagulation disorder. It is considered a rare presentation of acute infectious mononucleosis. Currently, physiopathology mechanisms are still unclear and likely multifactorial.


Epstein-Barr virus; Infectious mononucleosis; Splenic infarction


Turrian U. Splenic Infarction after Epstein-Barr Virus Infection: Case Report. Ann Clin Case Rep. 2021; 6: 2045..

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