背景:脾梗死通常发生在患有血栓栓塞性疾病和浸润性血液病等基础疾病的患者中。在这里,我们报道了一例罕见的脾梗死病例,该病例以前健康的男孩被诊断为传染性单核细胞增多症(IM).脾梗死是IM的罕见并发症,其发生率未知。本病例报告总结了临床特点,治疗方案,以及IM脾梗死恢复的预期时间。
方法:一名16岁的男孩因发烧到我们的诊所就诊,喉咙痛,和一般的sweakness7天。该患者由于爱泼斯坦-巴尔病毒感染而被诊断为IM。两天后,患者在左上腹出现严重腹痛,并返回急诊室进行进一步评估.
方法:IM并发脾梗死。
方法:对比增强CT证实了脾梗死的诊断。该患者入院接受支持治疗和密切医疗监测。手术。
结果:患者经保守治疗后恢复良好。
结论:IM最常见于青少年和年轻人。脾梗死是IM的罕见并发症,特别是在通常没有任何潜在的易感疾病的患者中。对比增强CT是可疑病例的首选成像方式。IM患者脾梗死的早期识别和治疗可以帮助预防潜在的危及生命的事件。应建议患者避免可能导致脾破裂的运动。然而,患者何时恢复运动是安全的仍然是未知的。在我们的案例中,脾梗死后6周,患者一般感觉良好,客观症状完全缓解,脾肿大,并在没有任何不良事件的情况下恢复运动。
BACKGROUND: Splenic infarction usually occurs in patients with underlying illnesses such as thromboembolic disorders and infiltrative hematologic diseases. Herein, we report a rare case of splenic infarction in a previously healthy boy diagnosed with infectious mononucleosis (IM). Splenic infarction is a rare complication of IM and its incidence is unknown. This case report summarizes the clinical characteristics, treatment options, and anticipated time for recovery from splenic infarction in IM.
METHODS: A16-year-old boy presented to our clinic with complaints of fever, sore throat, and general sweakness for 7 days. The patient was diagnosed with IM due to an Epstein-Barr virus infection. Two days later, the patient developed severe abdominal pain in the left upper quadrant and returned to our ER for further evaluation.
METHODS: IM complicated with splenic infarction.
METHODS: Contrast-enhanced CT confirmed the diagnosis of splenic infarction. This patient was admitted for supportive treatment and close medical monitoring. Surgical.
RESULTS: The patient recovered well with conservative treatment.
CONCLUSIONS: IM is most often seen in adolescents and young adults. Splenic infarction is a rare complication of IM, particularly in patients who do not usually have any underlying predisposing medical conditions. Contrast-enhanced CT is the imaging modality of choice in suspected cases. Early recognition and treatment of splenic infarction in patients with IM can help prevent potentially life-threatening events. Patients should be advised to avoid sports that may precipitate splenic rupture. However it is still unknown when it is safe for patients to resume sports. In our case, 6 weeks after the splenic infarction, the patient generally felt well with complete resolution of objective symptoms and splenomegaly, and resumed sports without experiencing any adverse events.