Open AccessTeenage kicks: splenic rupture secondary following infectious mononucleosis
Author(s) -
Stephen Gilmartin,
Stephen Hatton,
John Ryan
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-229030
Subject(s) - mononucleosis , medicine , sore throat , abdominal pain , emergency department , abdomen , alcohol intoxication , medical history , past medical history , tachycardia , surgery , anesthesia , emergency medicine , poison control , virology , injury prevention , virus , psychiatry
A 16-year-old man was brought to the emergency department by his father with apparent alcohol intoxication. While in the department, it was noted that the patient had ongoing tachycardia, hypotension and abdominal pain. His recent medical history included a self-resolving illness of fatigue, muscle aches and sore throat. A CT scan of his abdomen revealed an enlarged spleen with a splenic infarct and rupture, likely secondary to infectious mononucleosis. The patient was treated conservatively for 12 days.