Epstein-Barr virus multi-organ attack in a twenty-year-old boy: myocarditis, pneumonia and hepatitis

K.H. Katsanos, D. Christodoulou, M. Kitsanou, C.A. Economides, D. Patsouras, I. Goudevenos,E.V. Tsianos,

Authors K.H. Katsanos, D. Christodoulou, M. Kitsanou, C.A. Economides, D. Patsouras, I. Goudevenos,E.V. Tsianos,.

Abstract

SUMMARY
The case of a 20-year-old man who was admitted to our
hospital with symptoms of two days, dyspnea, orthopnea,
chest pain and fifteen days, cough and fever is presented.
The patient was diagnosed with acute Epstein-Barr virus
(EBV) infection with liver, lungs and myocardial involvement.
He recovered completely within a 20 day period and remains
in excellent health with no physical impairment or laboratory
abnormalities. We comment on the diagnostic hallmarks of
the EBV infection emphasizing physical examination,
electrocardiogram, echocardiogram, chest X-ray and
serologic tests. Moreover, we discuss clinical prognosis of
EBV infection. To our knowledge this is one of the very rare
cases of multi-organ EBV infection with myocardial, lungs
and liver involvement.
Key words: Epstein-Barr virus, myocarditis, pneumonia,
hepatitis, liver.