
Unusual infectious mononucleosis complicated by vasculitis
Author(s) -
Seelora Sahu,
Saroj Kumar Giri,
Shahid Malik,
Nikhil Gupta
Publication year - 2016
Publication title -
medical journal of dr. d y patil university/medical journal of dr. d.y. patil university
Language(s) - English
Resource type - Journals
eISSN - 2278-7119
pISSN - 0975-2870
DOI - 10.4103/0975-2870.167969
Subject(s) - mononucleosis , medicine , myocarditis , polyarteritis nodosa , kawasaki disease , pharyngitis , vasculitis , arteritis , malaise , disease , giant cell arteritis , pathology , necrotizing vasculitis , immunology , dermatology , virus , artery
Infectious mononucleosis (IM) is a clinical syndrome caused by Epstein-Barr virus (EBV). It manifests as fever, pharyngitis, malaise, adenopathy, and atypical lymphocytosis. Cardiovascular complications are thought to be rare in IM. There are very few case reports of EBV-associated vasculitides, like Kawasaki disease and systemic polyarteritis nodosa, however, involvement of the large caliber arteries like the aorta and its branches have been reported only scarcely. Myocarditis also is rare as an early manifestation of EBV infection. We present here a rare case of IM, presented initially with acute myocarditis and later with large-vessels arteritis