Epstein–Barr virus acute cholecystitis
- 1Internal Medicine Department, Hospital of Laredo, Laredo, Cantabria, Spain
- 2Digestive Diseases Department, Hospital of Laredo, Laredo, Cantabria, Spain
- 3General and Gastrointestinal Surgery Department, Hospital of Laredo, Laredo, Cantabria, Spain
- 4Emergency Department, Hospital of Laredo, Laredo, Cantabria, Spain
- Correspondence to Dr Miguel F Carrascosa, miguel.carrascosa{at}scsalud.es
Description
A previously healthy 22-year-old woman presented to our emergency department after 5 days of malaise, headache, fever and abdominal pain. Physical examination revealed abdominal tenderness in the right upper quadrant on deep palpation. There was no rebound tenderness. Blood test results showed: white blood cells 9.3×109/l (61% lymphocytes, some of them atypical on a peripheral-blood smear), haemoglobin concentration 104 g/l, platelets 138×109/l and high serum concentration of alkaline phosphatase (239 U/l), aspartate aminotransferase (329 U/l), alanine …
