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Epstein–Barr Virus–Associated Cholecystitis
- Arjun D. Koch, MD;
- Harry C.M. van den Bosch, MD; and
- Bert Bravenboer, MD, PhD
- From Catharina Hospital, 5602 ZA, Eindhoven, the Netherlands.
Background: Viral cholecystitis is uncommon in adults.
Objective: To describe a case of cholecystitis that was associated with Epstein–Barr virus infection.
Case Report: A 53-year-old woman presented to the emergency department with jaundice and colicky right upper quadrant abdominal pain radiating to the back. She had nausea without vomiting, night sweats, and a temperature of 38.0 °C. Symptoms had started 1 week before presentation. Laboratory results showed elevated concentrations of conjugated bilirubin (120 µmol/L [7.02 mg/dL]; reference range, 0 to 17 µmol/L [0 to 0.9 mg/dL]), aspartate aminotransferase (422 U/L; reference range, 15 to 40 U/L), alanine aminotransferase (339 U/L; reference range, 15 to 45 U/L), alkaline phosphatase (1081 …
