Pediatric Infection and Vaccine
- 제4권1호
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- Pages.167-173
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- 1997
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- 2384-1079(pISSN)
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- 2384-1087(eISSN)
담낭염과 폐렴을 동반한 전염성 단핵구증 1례
A Case of Thickened Gallbladder Wall and Pneumonia in a Child with Infectious Mononucleosis
- 김현수 (고려대학교 의과대학 소아과학교실) ;
- 김형석 (고려대학교 의과대학 소아과학교실) ;
- 신영규 (고려대학교 의과대학 소아과학교실) ;
- 은백린 (고려대학교 의과대학 소아과학교실) ;
- 박상희 (고려대학교 의과대학 소아과학교실) ;
- 차상훈 (고려대학교 의과대학 방사선과학교실)
- Kim, Hyun Soo (Department of Pediatrics, College of Medicine, Korea University) ;
- Kim, Hyung Suk (Department of Pediatrics, College of Medicine, Korea University) ;
- Shin, Young Kyoo (Department of Pediatrics, College of Medicine, Korea University) ;
- Eun, Baik Lin (Department of Pediatrics, College of Medicine, Korea University) ;
- Park, Sang Hee (Department of Pediatrics, College of Medicine, Korea University) ;
- Cha, Sang Hoon (Department of Radiology, College of Medicine, Korea University)
- 발행 : 1997.06.20
초록
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.