TY - JOUR T1 - Post-transplant lymphoproliferative disorder in an adolescent masquerading as a complicated primary EBV infection JF - BMJ Case Reports DO - 10.1136/bcr.04.2009.1758 VL - 2009 SP - bcr0420091758 AU - Heather L Henry AU - Conrad Vincent Fernandez AU - Gerard Corsten Y1 - 2009/01/01 UR - http://casereports.bmj.com/content/2009/bcr.04.2009.1758.abstract N2 - This report describes an adolescent girl with primary Epstein–Barr virus (EBV) infection in the setting of intensive immunosuppression for a cardiac transplant. She went on to develop progressive pain, weight loss and night sweats with necrosis of the tonsils over 8 weeks. The clinical impression was initially that of a complicated tonsillitis secondary to immune dysfunction. Biopsy 2 months after first presentation demonstrated diffuse B cell lymphoma consistent with post-transplant lymphoproliferative disorder (PTLD). We present this case to highlight the need for a high degree of clinical suspicion for PTLD in a population of patients who commonly experience primary exposure to EBV. ER -