Abstract
Icteric hepatitis and fulminant hepatic failure (FHF) are rare in infectious mononucleosis (IM). We report two patients with icteric IM hepatitis; one died after developing FHF, the other recovered uneventfully. Epstein-Barr virus infection causing hepatitis and FHF should be suspected when tests for other hepatotrophic viral infections are negative.
MeSH terms
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Adolescent
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Adult
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Antibodies, Heterophile / analysis
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Diagnosis, Differential
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Fatal Outcome
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Female
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Hepatitis, Viral, Human / diagnosis
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Hepatitis, Viral, Human / drug therapy
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Hepatitis, Viral, Human / etiology*
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Herpesvirus 4, Human / immunology
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Humans
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Infectious Mononucleosis / complications*
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Infectious Mononucleosis / diagnosis
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Infectious Mononucleosis / drug therapy
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Liver Failure, Acute / diagnosis
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Liver Failure, Acute / etiology