Asunto(s)
COVID-19 , Colecistitis Aguda , Vesícula Biliar , SARS-CoV-2/aislamiento & purificación , Anciano de 80 o más Años , COVID-19/diagnóstico , COVID-19/epidemiología , COVID-19/fisiopatología , COVID-19/terapia , Colecistectomía/métodos , Colecistitis Aguda/sangre , Colecistitis Aguda/fisiopatología , Colecistitis Aguda/terapia , Colecistitis Aguda/virología , Deterioro Clínico , Comorbilidad , Diagnóstico Diferencial , Resultado Fatal , Femenino , Vesícula Biliar/diagnóstico por imagen , Vesícula Biliar/cirugía , Vesícula Biliar/virología , Humanos , Pruebas de Función Hepática/métodos , Masculino , Enfermedades no Transmisibles/epidemiología , Manejo de Atención al Paciente/métodos , ARN Viral/aislamiento & purificación , Ultrasonografía/métodosAsunto(s)
Colecistitis Alitiásica/diagnóstico por imagen , Colecistitis Aguda/diagnóstico por imagen , Infecciones por Virus de Epstein-Barr/diagnóstico , Colecistitis Alitiásica/sangre , Colecistitis Alitiásica/virología , Adulto , Alanina Transaminasa/sangre , Fosfatasa Alcalina/sangre , Anticuerpos Antivirales/inmunología , Aspartato Aminotransferasas/sangre , Proteínas de la Cápside/inmunología , Colecistitis Aguda/sangre , Colecistitis Aguda/virología , Infecciones por Virus de Epstein-Barr/inmunología , Antígenos Nucleares del Virus de Epstein-Barr/inmunología , Femenino , Humanos , Inmunoglobulina G/inmunología , Inmunoglobulina M/inmunología , Linfocitosis/sangre , Ultrasonografía , gamma-Glutamiltransferasa/sangreRESUMEN
Atypical manifestations of acute hepatitis A virus (HAV) infection include ascites, pleural effusion, acute renal failure, aplastic anemia, and neurological manifestations. Although association of HAV and acute cholecystitis is known, presentation of hepatitis A infection with acute cholecystitis has not been reported in pediatric emergency medicine literature. Primary acute acalculous cholecystitis in children is rare and commonly attributed to systemic infections. We report a case of a child developing acute viral cholecystitis as a presenting feature of sporadic HAV infection and review HAV-associated cholecystitis in children. The article provides a brief illustration of evaluating acute abdominal pain in older children in the emergency department in a developing country.
Asunto(s)
Dolor Abdominal/virología , Colecistitis Aguda/virología , Hepatitis A/complicaciones , Niño , Países en Desarrollo , Urgencias Médicas , Enfermedades Endémicas , Femenino , Hepatitis A/epidemiología , Humanos , India/epidemiologíaRESUMEN
Primary Epstein-Barr virus (EBV) infection may present with self-limiting abdominal involvement, characterized by hepatitis with mild elevation of aminotransferases, splenomegaly, and rarely with acute acalculous cholecystitis (AAC). Usually, treatment of EBV related AAC is symptomatic, without the need for surgery. Here, we describe a severe case of AAC occurring as the first manifestation of infectious mononucleosis in a young adult woman, receiving treatment with interleukin 6 receptor (IL-6r) inhibitor for rheumatoid arthritis (RA); moreover, we have performed a review of the literature on EBV-related AAC.
Asunto(s)
Colecistitis Alitiásica , Colecistitis Aguda , Infecciones por Virus de Epstein-Barr , Colecistitis Alitiásica/virología , Artritis Reumatoide/tratamiento farmacológico , Colecistitis Aguda/virología , Infecciones por Virus de Epstein-Barr/complicaciones , Femenino , Herpesvirus Humano 4 , Humanos , Interleucina-6/antagonistas & inhibidores , Adulto JovenRESUMEN
Following the spread of the infection from the new SARS-CoV2 coronavirus in March 2020, several surgical societies have released their recommendations to manage the implications of the COVID-19 pandemic for the daily clinical practice. The recommendations on emergency surgery have fueled a debate among surgeons on an international level.We maintain that laparoscopic cholecystectomy remains the treatment of choice for acute cholecystitis, even in the COVID-19 era. Moreover, since laparoscopic cholecystectomy is not more likely to spread the COVID-19 infection than open cholecystectomy, it must be organized in such a way as to be carried out safely even in the present situation, to guarantee the patient with the best outcomes that minimally invasive surgery has shown to have.
Asunto(s)
Colecistectomía/normas , Colecistitis Aguda/cirugía , Infecciones por Coronavirus/complicaciones , Control de Infecciones/normas , Neumonía Viral/complicaciones , Guías de Práctica Clínica como Asunto , Betacoronavirus , COVID-19 , Colecistectomía/métodos , Colecistitis Aguda/virología , Infecciones por Coronavirus/virología , Humanos , Pandemias , Neumonía Viral/virología , SARS-CoV-2 , Sociedades MédicasRESUMEN
BACKGROUND: Acute acalculous cholecystitis is a rare complication of Epstein-Barr virus mononucleosis and involves thickening of the gallbladder wall. CASE REPORT: We describe the case of a 22-year-old woman with acute acalculous cholecystitis and pericholecystitis associated with Epstein-Barr virus primary infection. Surgical intervention was not performed, even though gallbladder perforation was suspected. The patient was treated conservatively with careful monitoring, including repeated ultrasonographic examinations. CONCLUSIONS: Epstein-Barr virus infections are usually self-limited, and surgical treatment of acute acalculous cholecystitis should only be considered when the ultrasonographic criteria persist on follow-up examinations or when they deteriorate. This is the first report of a severe course of acute acalculous cholecystitis with suspected gallbladder perforation associated with infectious mononucleosis.
Asunto(s)
Colecistitis Alitiásica/complicaciones , Colecistitis Alitiásica/virología , Colecistitis Aguda/complicaciones , Colecistitis Aguda/virología , Infecciones por Virus de Epstein-Barr/complicaciones , Mononucleosis Infecciosa/complicaciones , Mononucleosis Infecciosa/virología , Colecistitis Alitiásica/diagnóstico por imagen , Adulto , Colecistitis Aguda/diagnóstico por imagen , Infecciones por Virus de Epstein-Barr/diagnóstico por imagen , Infecciones por Virus de Epstein-Barr/virología , Femenino , Vesícula Biliar/diagnóstico por imagen , Vesícula Biliar/patología , Humanos , Mononucleosis Infecciosa/diagnóstico por imagen , Tomografía Computarizada por Rayos X , UltrasonografíaRESUMEN
Acute acalculous cholecystitis (AAC) is the inflammatory disease of the gallbladder in the absence of gallstones. AAC is estimated to represent at least 50% to 70% of all cases of acute cholecystitis during childhood. Although this pathology was originally described in critically ill or post-surgical patients, most pediatric cases have been observed during several infectious diseases. In addition to cases caused by bacterial and parasitic infections, most pediatric reports after 2000 described children developing AAC during viral illnesses (such as Epstein-Barr virus and hepatitis A virus infections). Moreover, some pediatric cases have been associated with several underlying chronic diseases and, in particular, with immune-mediated disorders. Here, we review the epidemiological aspects of pediatric AAC, and we discuss etiology, pathophysiology and clinical management, according to the cases reported in the medical literature.
Asunto(s)
Colecistitis Alitiásica/epidemiología , Colecistitis Aguda/epidemiología , Infecciones por Virus de Epstein-Barr/complicaciones , Hepatitis A/complicaciones , Colecistitis Alitiásica/diagnóstico , Colecistitis Alitiásica/etiología , Colecistitis Alitiásica/terapia , Antibacterianos/uso terapéutico , Niño , Colecistectomía , Colecistitis Aguda/terapia , Colecistitis Aguda/virología , Infecciones por Virus de Epstein-Barr/inmunología , Infecciones por Virus de Epstein-Barr/virología , Vesícula Biliar/inmunología , Vesícula Biliar/cirugía , Vesícula Biliar/virología , Hepatitis A/inmunología , Hepatitis A/virología , Virus de la Hepatitis A Humana/aislamiento & purificación , Herpesvirus Humano 4/aislamiento & purificación , Humanos , Incidencia , Factores de Riesgo , Resultado del TratamientoRESUMEN
Acute acalculous cholecystitis (AAC) constitutes 5-10% of all cases of cholecystitis in adults, and is even less common in children. The recent literature has described an association between primary Epstein-Barr virus (EBV) infection and AAC, however, it still remains an uncommon presentation of the infection. Most authors advise that the management of AAC in patients with primary EBV infection should be supportive, since the use of antibiotics does not seem to alter the severity or prognosis of the illness. Furthermore, surgical intervention has not been described as necessary or indicated in the management of uncomplicated AAC associated with EBV infection. We report a case of a 16-year-old Lebanese girl with AAC associated with primary EBV infection. She presented to the emergency department, with high-grade fever, fatigue, vomiting and abdominal pain. Liver enzymes were elevated with a cholestatic pattern, and imaging confirmed the diagnosis of AAC. She was admitted to the regular floor, and initial management was conservative. Owing to persistence of fever, antibiotics were initiated on day 3 of admission. She had a smooth clinical course and was discharged home after a total of 9â days, with no complications.