Epstein-Barr Virus Infection with Acute Acalculous Cholecystitis
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초록
Acute acalculous cholecystitis (AAC) is an inflammation of the gallbladder in the absence of demonstrated stones. AAC is frequently associated with severe systemic inflammation. However, the exact etiology and pathogenesis of AAC still remain unclear. Acute infection with Epstein Barr virus (EBV) in childhood is usually aymptomatic, whereas it often presents as typical infectious mononucleosis symptoms such as fever, cervical lymphadenopathy, and hepatosplenomegaly. AAC may occur during the course of acute EBV infection, which is rarely encountered in the pediatric population. AAC complicating the course of a primary EBV infection is usually associated with a favorable outcome. Most of the patients recover without any surgical treatment. Therefore, the detection of EBV in AAC would be important for prediction of better prognosis. We describe the case of a 10-year-old child who presented with AAC during the course of primary EBV infection, the first in Korea, and review the relevant literature.
Abstract
Acute acalculous cholecystitis (AAC) is an inflammation of the gallbladder in the absence of demonstrated stones. AAC is frequently associated with severe systemic inflammation. However, the exact etiology and pathogenesis of AAC still remain unclear. Acute infection with Epstein Barr virus (EBV) in childhood is usually aymptomatic, whereas it often presents as typical infectious mononucleosis symptoms such as fever, cervical lymphadenopathy, and hepatosplenomegaly. AAC may occur during the course of acute EBV infection, which is rarely encountered in the pediatric population. AAC complicating the course of a primary EBV infection is usually associated with a favorable outcome. Most of the patients recover without any surgical treatment. Therefore, the detection of EBV in AAC would be important for prediction of better prognosis. We describe the case of a 10-year-old child who presented with AAC during the course of primary EBV infection, the first in Korea, and review the relevant literature.
참고문헌 (20)
- Macsween KF, "Epstein-Barr virus-recent advances", Lancet Infect Dis, 3, pp.131~140 (2003)
- Barie PS, "Acute acalculous cholecystitis", Curr Gastroenterol Rep, 5, pp.302~309 (2003)
- Lagona E, "Epstein-Barr virus infectious mononucleosis associated with acute acalculous cholecystitis", Infection, 35, pp.118~119 (2007)
- Prassouli A, "Acute acalculous cholecystitis as the initial presentation of primary Epstein-Barr virus infection", J Pediatr Surg, 42, pp.E11~E13 (2007)
- Iaria C, "Acute acalculous cholecystitis during the course of primary Epstein-Barr virus infection: a new case and a review of the literature", Int J Infect Dis, 12, pp.391~395 (2008)
- Gora-Gebka M, "Acute acalculous cholecystitis of viral etiology--a rare condition in children?", J Pediatr Surg, 43, pp.e25~e27 (2008)
- Attilakos A, "Acute acalculous cholecystitis in children with Epstein-Barr virus infection:a role for Gilbert's syndrome?", Int J Infect Dis, 13, pp.e161~e164 (2009)
- Poddighe D, "Acute acalculous cholecystitis associated with severe EBV hepatitis in an immunocompetent child", BMJ Case Rep (2014)
- Koch AD, "Epstein-Barr virus-associated cholecystitis", Ann Intern Med, 146, pp.826~827 (2007)
- Cholongitas E, "Acalculous cholecystitis during the course of acute Epstein-Barr virus infection", Int J Infect Dis, 13, pp.e129~e130 (2009)
- Arya SO, "Epstein Barr virus-associated acute acalculous cholecystitis:a rare occurrence but favorable outcome", Clin Pediatr, 49, pp.799~804 (2010)
- Huang SC, "Septic shock and hypofibrinogenemia predict a fatal outcome in childhood acute acalculous cholecystitis", J Pediatr Gastroenterol Nutr, 53, pp.548~552 (2011)
- Tsakayannis DE, "Acalculous cholecystitis in children", J Pediatr Surg, 31, pp.127~130 (1996)
- Suchy FJ, "Nelson textbook of pediatrics", pp.1415~1416 (2011), Elsevier
- Sears HF, "Cholecystitis in childhood and adolescence", Arch Surg, 106, pp.651~653 (1973)
- Mirvis SE, "The diagnosis of acute acalculous cholecystitis: a comparison of sonography, scintigraphy, and CT", AJR Am J Roentgenol, 147, pp.1171~1175 (1986)
- Imhof M, "Acute acalculous cholecystitis complicating trauma: a prospective sonographic study", World J Surg, 16, pp.1160~1165 (1992)
- Imamoğlu M, "Acute acalculous cholecystitis in children: Diagnosis and treatment", J Pediatr Surg, 37, pp.36~39 (2002)
- Deitch EA, "Acute acalculous cholecystitis. Ultrasonic diagnosis", Am J Surg, 142, pp.290~292 (1981)
- Shin YH, "A five-year-old boy with nephrotic syndrome complicated with acute acalculous cholecystitis", Pediatr Int, 49, pp.674~676 (2007)