Fulminant Infectious Mononucleosis and Recurrent Epstein‐Barr Virus Reactivation in an Adolescent
Author(s) -
Jamie P. Nourse,
Kimberley Jones,
Ujjwal Dua,
Naomi Runnegar,
David Looke,
Christopher Schmidt,
SiokKeen Tey,
Glen Kennedy,
Maher K. Gandhi
Publication year - 2010
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/650007
Subject(s) - mononucleosis , fulminant , medicine , epstein–barr virus infection , epstein–barr virus , virus , immunology , virology , immunity , transplantation , immune system
We describe a unique case of fulminant infectious mononucleosis and recurrent Epstein-Barr virus reactivation presenting in an adolescent. Detailed assays of Epstein-Barr virus-specific T cell immunity revealed defects in the patient's T cell receptor signalling pathway characterized by a lack of interleukin-2 and CD25 expression, which may have contributed to her clinical course. Allogeneic stem cell transplantation reversed the clinical and laboratory phenotype.
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