Epstein-Barr virus-associated acute pancreatitis
Epstein-Barr virus (EBV) infection is mostly subclinical and resolves spontaneously without complications. Gastroenterology involvement usually manifests as asymptomatic liver enzymes elevation. We report a new case of acute pancreatitis complicating EBV infection and review the literature. EBV-asso...
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Veröffentlicht in: | BMJ case reports 2019-11, Vol.12 (11), p.e231744 |
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description | Epstein-Barr virus (EBV) infection is mostly subclinical and resolves spontaneously without complications. Gastroenterology involvement usually manifests as asymptomatic liver enzymes elevation. We report a new case of acute pancreatitis complicating EBV infection and review the literature. EBV-associated acute pancreatitis is rare, usually develops in the setting of clinically clear EBV infection, occurs mostly in children and young adults, has mild-to-moderate severity, and has excellent prognosis with conservative management. It should be suspected when patients with an EBV infection picture develop unexplained abdominal pain. |
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Gastroenterology involvement usually manifests as asymptomatic liver enzymes elevation. We report a new case of acute pancreatitis complicating EBV infection and review the literature. EBV-associated acute pancreatitis is rare, usually develops in the setting of clinically clear EBV infection, occurs mostly in children and young adults, has mild-to-moderate severity, and has excellent prognosis with conservative management. It should be suspected when patients with an EBV infection picture develop unexplained abdominal pain.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2019-231744</identifier><identifier>PMID: 31732544</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Abdomen ; Adolescent ; Alcohol ; Case reports ; Conservative Treatment ; Enzymes ; Epstein-Barr virus ; Epstein-Barr Virus Infections - diagnosis ; Epstein-Barr Virus Infections - therapy ; Female ; Fever ; Gallstones ; Gastroenterology ; Hepatitis ; Humans ; Hydration ; Immunoglobulins ; infection (gastroenterology) ; Infections ; Liver ; Medical prognosis ; Mononucleosis ; Pain ; Pancreatitis ; Pancreatitis - diagnosis ; Pancreatitis - therapy ; Pancreatitis - virology ; Patients ; Pneumonia ; Rare Disease ; Sepsis ; Ultrasonic imaging ; Viral infections</subject><ispartof>BMJ case reports, 2019-11, Vol.12 (11), p.e231744</ispartof><rights>BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2019 BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b558t-17fa35038df03b96441c7d49709a1154b695b4cee5d9df2351b7b67b70f3c81b3</citedby><cites>FETCH-LOGICAL-b558t-17fa35038df03b96441c7d49709a1154b695b4cee5d9df2351b7b67b70f3c81b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6887472/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6887472/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31732544$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hammami, Muhammad Baraa</creatorcontrib><creatorcontrib>Aboushaar, Reem</creatorcontrib><creatorcontrib>Musmar, Ahmad</creatorcontrib><creatorcontrib>Hammami, Safa</creatorcontrib><title>Epstein-Barr virus-associated acute pancreatitis</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><addtitle>BMJ Case Rep</addtitle><description>Epstein-Barr virus (EBV) infection is mostly subclinical and resolves spontaneously without complications. Gastroenterology involvement usually manifests as asymptomatic liver enzymes elevation. We report a new case of acute pancreatitis complicating EBV infection and review the literature. EBV-associated acute pancreatitis is rare, usually develops in the setting of clinically clear EBV infection, occurs mostly in children and young adults, has mild-to-moderate severity, and has excellent prognosis with conservative management. It should be suspected when patients with an EBV infection picture develop unexplained abdominal pain.</description><subject>Abdomen</subject><subject>Adolescent</subject><subject>Alcohol</subject><subject>Case reports</subject><subject>Conservative Treatment</subject><subject>Enzymes</subject><subject>Epstein-Barr virus</subject><subject>Epstein-Barr Virus Infections - diagnosis</subject><subject>Epstein-Barr Virus Infections - therapy</subject><subject>Female</subject><subject>Fever</subject><subject>Gallstones</subject><subject>Gastroenterology</subject><subject>Hepatitis</subject><subject>Humans</subject><subject>Hydration</subject><subject>Immunoglobulins</subject><subject>infection (gastroenterology)</subject><subject>Infections</subject><subject>Liver</subject><subject>Medical prognosis</subject><subject>Mononucleosis</subject><subject>Pain</subject><subject>Pancreatitis</subject><subject>Pancreatitis - diagnosis</subject><subject>Pancreatitis - therapy</subject><subject>Pancreatitis - virology</subject><subject>Patients</subject><subject>Pneumonia</subject><subject>Rare Disease</subject><subject>Sepsis</subject><subject>Ultrasonic imaging</subject><subject>Viral infections</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkU1LAzEQhoMottSevUnBiyhrk02y2VwELfUDCl4UvIUkm9WU_ajJbsF_b5attQqCc5mBeeZlZl4AjhG8RAgnU6VdFEPEoxgjRsgeGCJGWcQ4fNnfqQdg7P0ShsCIpAQfgkHgcUwJGQI4X_nG2Cq6kc5N1ta1PpLe19rKxmQTqdvGTFay0s7IxjbWH4GDXBbejDd5BJ5v50-z-2jxePcwu15EitK0iRDLJaYQp1kOseIJIUizjHAGuUSIEpVwqog2hmY8y2NMkWIqYYrBHOsUKTwCV73uqlWlybSpGicLsXK2lO5D1NKKn53KvonXei2SNGWExUHgbCPg6vfW-EaU1mtTFLIydetFeBqFnKe8Q09_ocu6dVU4r6NIksYU8UBNe0q72ntn8u0yCIrOEBEMEZ0hojckTJzs3rDlv94fgPMeUOXyH2oX3_B2wb_oT5y9oCk</recordid><startdate>20191114</startdate><enddate>20191114</enddate><creator>Hammami, Muhammad Baraa</creator><creator>Aboushaar, Reem</creator><creator>Musmar, Ahmad</creator><creator>Hammami, Safa</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20191114</creationdate><title>Epstein-Barr virus-associated acute pancreatitis</title><author>Hammami, Muhammad Baraa ; Aboushaar, Reem ; Musmar, Ahmad ; Hammami, Safa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b558t-17fa35038df03b96441c7d49709a1154b695b4cee5d9df2351b7b67b70f3c81b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Abdomen</topic><topic>Adolescent</topic><topic>Alcohol</topic><topic>Case reports</topic><topic>Conservative Treatment</topic><topic>Enzymes</topic><topic>Epstein-Barr virus</topic><topic>Epstein-Barr Virus Infections - diagnosis</topic><topic>Epstein-Barr Virus Infections - therapy</topic><topic>Female</topic><topic>Fever</topic><topic>Gallstones</topic><topic>Gastroenterology</topic><topic>Hepatitis</topic><topic>Humans</topic><topic>Hydration</topic><topic>Immunoglobulins</topic><topic>infection (gastroenterology)</topic><topic>Infections</topic><topic>Liver</topic><topic>Medical prognosis</topic><topic>Mononucleosis</topic><topic>Pain</topic><topic>Pancreatitis</topic><topic>Pancreatitis - diagnosis</topic><topic>Pancreatitis - therapy</topic><topic>Pancreatitis - virology</topic><topic>Patients</topic><topic>Pneumonia</topic><topic>Rare Disease</topic><topic>Sepsis</topic><topic>Ultrasonic imaging</topic><topic>Viral infections</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hammami, Muhammad Baraa</creatorcontrib><creatorcontrib>Aboushaar, Reem</creatorcontrib><creatorcontrib>Musmar, Ahmad</creatorcontrib><creatorcontrib>Hammami, Safa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hammami, Muhammad Baraa</au><au>Aboushaar, Reem</au><au>Musmar, Ahmad</au><au>Hammami, Safa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epstein-Barr virus-associated acute pancreatitis</atitle><jtitle>BMJ case reports</jtitle><stitle>BMJ Case Rep</stitle><addtitle>BMJ Case Rep</addtitle><date>2019-11-14</date><risdate>2019</risdate><volume>12</volume><issue>11</issue><spage>e231744</spage><pages>e231744-</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>Epstein-Barr virus (EBV) infection is mostly subclinical and resolves spontaneously without complications. Gastroenterology involvement usually manifests as asymptomatic liver enzymes elevation. We report a new case of acute pancreatitis complicating EBV infection and review the literature. EBV-associated acute pancreatitis is rare, usually develops in the setting of clinically clear EBV infection, occurs mostly in children and young adults, has mild-to-moderate severity, and has excellent prognosis with conservative management. It should be suspected when patients with an EBV infection picture develop unexplained abdominal pain.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>31732544</pmid><doi>10.1136/bcr-2019-231744</doi><oa>free_for_read</oa></addata></record> |
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subjects | Abdomen Adolescent Alcohol Case reports Conservative Treatment Enzymes Epstein-Barr virus Epstein-Barr Virus Infections - diagnosis Epstein-Barr Virus Infections - therapy Female Fever Gallstones Gastroenterology Hepatitis Humans Hydration Immunoglobulins infection (gastroenterology) Infections Liver Medical prognosis Mononucleosis Pain Pancreatitis Pancreatitis - diagnosis Pancreatitis - therapy Pancreatitis - virology Patients Pneumonia Rare Disease Sepsis Ultrasonic imaging Viral infections |
title | Epstein-Barr virus-associated acute pancreatitis |
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