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Unusual presentation of more common disease/injury
Case report
Gallbladder wall thickening on bedside ultrasound in a child with Epstein-Barr virus infection
  1. Alex Guri and
  2. Eric Scheier
  1. Pediatrics, Kaplan Medical Center, Rehovot, Israel
  1. Correspondence to Dr Alex Guri; alexgur{at}clalit.org.il

Abstract

Gallbladder wall thickening (GBWT) is rarely reported in children with acute Epstein-Barr virus (EBV) infection. We present a child with EBV infection who was found on point-of-care ultrasound to have GBWT without signs of cholecystitis that subsequently resolved without intervention. We expect the proliferation of mobile and handheld sonography to increase the number of bedside examinations in febrile children. This, in turn, will increase the incidence of GBWT found in patients with EBV infection and without right upper quadrant pain. Prospective study is needed to define the incidence of GBWT in children with EBV infection.

  • hepatitis and other GI infections
  • hepatitis other
  • infection (gastroenterology)
  • radiology

http://dx.doi.org/10.1136/bcr-2020-234486

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    Footnotes

    • Contributors ES recorded the image and cared for the child in the emergency room. AG cared for the child in the ward. Both authors wrote key sections of the manuscript, involved in revision and approved the final manuscript. Both authors approved this revised draft.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.