Recurrence of infectious mononucleosis in adults after remission for 3 years:A case report  

作　　者：Xin-Yue Zhang Qi-Bei Teng 

机构地区：[1]Department of Traditional Chinese Medicine,The Children’s Hospital,Zhejiang University School of Medicine,National Clinical Research Center For Child Health,Hangzhou 310052,Zhejiang Province,China [2]Department of Hematology,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310016,Zhejiang Province,China

出　　处：《World Journal of Clinical Cases》2022年第12期3951-3958,共8页世界临床病例杂志

摘　　要：BACKGROUND Infectious mononucleosis(IM)is a disease caused by Epstein–Barr virus(EBV).EBV infection is common in children;however,it can cause IM in adults.Studies on recurrence of IM in adults after remission are limited.CASE SUMMARY We report a 28-year-old man who presented with IM-like symptoms with mild liver damage after initial remission of IM for 3 years.He was first diagnosed with IM and treated in 2015.Follow-up tests in 2016 and 2017 did not show any abnormalities.In November 2018,he presented with swelling of the tonsils.He was misdiagnosed with acute suppurative tonsillitis and treated for 5 d.No signs of improvement were observed.He was readmitted with recurrent fever,pharyngalgia,fatigue,and systemic muscle pain.Examinations revealed enlargement of the tonsils and cervical lymph nodes.Blood tests revealed elevated transaminase levels.Anti-EBV test was positive,indicating virus reactivation.IM recurrence was confirmed on the basis of laboratory tests and clinical manifestations.He was treated with antiviral,anti-infective,and hepatoprotective drugs and vitamin supplements.His condition improved and no abnormalities were observed during follow-up.CONCLUSION Recurrence of IM after remission is possible in adults;therefore,long-term followup and monitoring are essential.

关 键 词：ADULTS Epstein–Barr virus Infectious mononucleosis Liver damage RECURRENCE Case report 

分 类 号：R511[医药卫生—内科学]