Epstein-Barr virus-related infectious mononucleosis presenting as cholestatic hepatitis
Abstract
A 17-year-old female was admitted to the emergency room for fever, cervical lymphadenopathy and jaundice. Initial inpatient laboratory tests showed elevated transaminases and conjugated hyperbilirubinemia, along with a hepatobiliary ultrasound showing mild splenomegaly with no bile duct obstruction. Epstein-Barr virus capsid antibodies were also detected, confirming the diagnosis of acute cholestatic hepatitis secondary to a primary Epstein-Barr virus infection.
The objective of this case report is to present an atypical clinical manifestation of the disease, highlighting the importance of maintaining high clinical suspicion, beginning with the diagnostic approach, and appropriately ruling out other diseases that may have similar symptoms
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