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BMJ Case Reports 2012; doi:10.1136/bcr.02.2012.5744
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Epstein–Barr virus acute cholecystitis

  1. César Saiz-Pérez4
  1. 1Internal Medicine Department, Hospital of Laredo, Laredo, Cantabria, Spain
  2. 2Digestive Diseases Department, Hospital of Laredo, Laredo, Cantabria, Spain
  3. 3General and Gastrointestinal Surgery Department, Hospital of Laredo, Laredo, Cantabria, Spain
  4. 4Emergency Department, Hospital of Laredo, Laredo, Cantabria, Spain
  1. 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 …

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