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Case Reports
. 2024 Jun 21:51:102080.
doi: 10.1016/j.rmcr.2024.102080. eCollection 2024.

EPSTEIN-BARR virus pneumonitis in a immunocompetent young adult

Jawad Hindy  1   2 , Tova Rainis  1   2
Affiliations
Case Reports

EPSTEIN-BARR virus pneumonitis in a immunocompetent young adult

Jawad Hindy et al. Respir Med Case Rep. .

Abstract

Background: Epstein-Barr virus (EBV) is a common human Herpesvirus with worldwide distribution. Primary EBV infection usually occurs early in life and typically presents as infectious mononucleosis consisting of fever, pharyngitis, hepatosplenomegaly, and lymphadenopathy. Usually, the disease course is benign and most patients recover uneventfully without any consequent sequel.

Method and results: We present a case of an immunologically normal young male in whom an acute EBV infection caused severe pneumonitis. He was treated empirically with Paracetamol, intravenous Ceftriaxone 1 gr/day plus Azithromycin 500 mg/day.

Conclusion: EBV-associated pneumonitis is rare, and treatment is usually supportive, whether antiviral agents (such as acyclovir) or steroids would be beneficial remains to be determined.

Keywords: Computed tomography scan; EBV; Lung; Pneumonia.

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Conflict of interest statement

No conflict.

Figures

Fig. 1
Fig. 1
Chest radiograph of the patient on admission, demonstrating a right lower lobe infiltrate.
Fig. 2
Fig. 2
Chest computed tomography pulmonary angiogram (CTPA) revealing confined opacity in the right lower lobe.
Fig. 3
Fig. 3
Abdomianl ultrasonography demonstrating splenomegaly.
See this image and copyright information in PMC

References

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