Document Detail

Chest pain in a young patient: an unusual complication of Epstein-Barr virus.
MedLine Citation:
PMID:  24686796     Owner:  NLM     Status:  In-Data-Review    
A 29-year-old man presented with sudden left-sided pleuritic chest pain on a background of sore throat during the preceding week. On examination he had tender cervical lymphadenopathy, he was tachycardic and had a 24 mm Hg blood pressure difference between the left and right arms. Bloods revealed deranged liver function tests and a lymphocytosis. His D-dimer was raised, hence he was treated for presumed pulmonary embolism before imaging was available. Monospot test was positive. He subsequently had both a CT pulmonary angiogram and a CT angiogram of the aorta to exclude pulmonary embolism and aortic dissection. The CT revealed splenomegaly with a large subdiaphragmatic haematoma secondary to splenic rupture. This had likely caused referred pain through diaphragmatic irritation. He was taken to theatre for urgent splenectomy. The unifying diagnosis was infectious mononucleosis complicated by spontaneous splenic rupture secondary to Epstein-Barr virus infection.
Lavanya Raman; Krishnaraj Sinhji Rathod; Rajesh Banka
Related Documents :
18435646 - A rapidly expanding descending thoracic aortic aneurysm: an unusual complication.
19683986 - Favorable early outcomes for patients with extended indications for thoracic endografting.
15947046 - Hybrid endograft for one-step treatment of multisegment disease of the thoracic aorta.
16309416 - Onlay patch for complete intercostal artery preservation during thoracic and thoracoabd...
8611316 - Ultrasound at scintigraphic "intermediate probability of pulmonary embolism".
21123096 - Zoledronate inhibits intimal hyperplasia in balloon-injured rat carotid artery.
Publication Detail:
Type:  Journal Article     Date:  2014-03-31
Journal Detail:
Title:  BMJ case reports     Volume:  2014     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2014  
Date Detail:
Created Date:  2014-04-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Pulmonary alveolar microlithiasis: report of two brothers with the same illness and review of litera...
Next Document:  Chest pain with raised troponin, ECG changes but normal coronary arteries.