Presentation
Hospitalized for fever, severe neck lymphadenomegaly and mild hepatosplenomegaly. Blood panels show severe increase of anti-EBV IgM and moderate increase of the anti-Cytomegalovirus IgM.
Patient Data
Abdomen ultrasound confirms mild hepatosplemegaly. The gallbladder presents a remarkable wall thickening, mucosal swelling with anechoic content.
The transverse scan after 48 hours shows more increased wall thickness.
Case Discussion
This case illustrates features of acute acalculous cholecystitis. It is an infrequent manifestation of several viral infections. In our case, it is suggested to be a complication of primary Epstein-Barr viral infection.