Korean J Pediatr Infect Dis.  1997 May;4(1):167-173. 10.14776/kjpid.1997.4.1.167.

A Case of Thickened Gallbladder Wall and Pneumonia in a Child with Infectious Mononucleosis

• Kim HS
• Kim HS
• Shin YK
• Eun BL
• Park SH
• Cha SH

• KMID: 2440371
• DOI: http://doi.org/10.14776/kjpid.1997.4.1.167

Abstract

Acute infectious mononucleosis, caused by Epstein-Barr virus(EBV), is a self limited lymphoproliferative illness that is common in adolescents and young adults. It shows many complications in multiple organ systems, but the hepatobiliary and the respiratory complication is uncommon. We report a case with thickened gallbladder wall and pneumonia as complications of acute infectious mononucleosis in a child. Also the related literature were reviewed. A 4 year old boy presented with a history of high fever, cough, and abdominal distension for 20days. Physical Examination revealed audible crackles in whole lung field and gross hepatomegaly. Chest X-ray showed pneumonia and liver function tests were abnormal. Ultrasonography and computed tomography revealed a thickened gallbladder wall and hepatosplenomegaly. The diagnosis of primary Epstein-Barr viral infection was eventually made by specific serologic tests. The patients's fever subsided 6 weeks later and pneumonia was recovered around this time. Liver function tests returned near normal 2 months later and ultrasonography of gallbladder was normal at this time.

Keyword

Infectious mononucleosis; Gallbladder wall thickening; Pneumonia; Child

MeSH Terms

Adolescent
Child*
Cough
Diagnosis
Fever
Gallbladder*
Hepatomegaly
Humans
Infectious Mononucleosis*
Liver Function Tests
Lung
Male
Physical Examination
Pneumonia*
Respiratory Sounds
Serologic Tests
Thorax
Ultrasonography
Young Adult