Severe cholestatic jaundice induced by Epstein-Barr virus infection in the elderly.
J Gastroenterol Hepatol
; 13(8): 821-4, 1998 Aug.
Article
en En
| MEDLINE
| ID: mdl-9736176
ABSTRACT
Infectious mononucleosis due to Epstein-Barr virus (EBV) is almost always a self-limited disease, most commonly seen in young adults. Hepatitis is a well-recognized complication of EBV infection that usually resolves spontaneously. Jaundice occasionally results from the unusual complication of autoimmune haemolytic anaemia rather than hepatitis. We report a 60-year-old man with severe cholestatic jaundice whose history, liver histology and laboratory findings suggested EBV infection. He also developed significant jaundice related to his hepatitis, but not to autoimmune haemolysis, a situation that led to diagnostic delay. Costly diagnostic laboratory tests and invasive procedures were performed to rule out a malignant extrahepatic biliary obstruction. Physicians need to be aware of this complication and EBV infection should be included in the differential diagnosis of cholestatic jaundice in the elderly.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Colestasis
/
Herpesvirus Humano 4
/
Hepatitis Viral Humana
/
Mononucleosis Infecciosa
Tipo de estudio:
Diagnostic_studies
Límite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
J Gastroenterol Hepatol
Asunto de la revista:
GASTROENTEROLOGIA
Año:
1998
Tipo del documento:
Article
Pais de publicación:
AU
/
AUSTRALIA
/
AUSTRÁLIA