Presentation
Past Infection If antibodies to both the viral capsid antigen and EBNA are present, then past infection (from to 6 months to years earlier) is indicated. [phoenixrising.me]
[…] in his childhood due to idiopathic thrombocytopenic purpura (ITP) presented with jaundice and dark urine. [austinpublishinggroup.com]
Consistent with this finding, a diagnosis of HPS was significantly delayed in the present case because of the clinical presentation. [journals.lww.com]
// Annals of Internal Medicine;May87, Vol. 106 Issue 5, p775 A letter to the editor and a reply are presented in response to the article "Chronic Epstein-Barr virus infection associated with fever and interstitial pneumonitis: clinical and serologic [connection.ebscohost.com]
Case presentation We describe the case of an elderly immunocompetent female who presented with non-specific symptomatology, lymphadenopathy, cytopenias, elevated autoantibody titers and a crescent EBV viral load that were suggestive of a multisystemic [bmchematol.biomedcentral.com]
Immune System
- Cervical Lymphadenopathy
He developed progressive cervical lymphadenopathy and cerebellar dysfunction. [ajnr.org]
It is defined as the classical triad of fever, pharyngitis, and cervical lymphadenopathy along with lymphocytosis. [bmchematol.biomedcentral.com]
Cervical lymphadenopathies in children: A prospective clinical cohort study. Int J Pediatr Otorhinolaryngol. 2016;82:81-7. [hopkinsguides.com]
Entire Body System
- Fatigue
There was no greater fatigue at onset or after 6 months in either cohort, but those who complained of fatigue at 6 months were more likely to have had fatigue at onset and psychological distress before presentation. [healio.com]
Detailed immunologic, neurologic, endocrinologic, and psychologic studies are being conducted on selected patients with chronic fatigue. [grantome.com]
Abstract Twenty-three patients with polymyalgia rheumatica (PMR) followed in an academic rheumatology practice frequently reported symptoms commonly found in the recently described "chronic fatigue syndrome" or "chronic Epstein-Barr infection syndrome [unboundmedicine.com]
The patient developed chronic fatigue and chronic renal failure with a serological profile typical of primary EBV infection. Clinical improvement with anti-EBNA seroconversion occurred after acyclovir therapy. [prohealth.com]
- Chronic Fatigue Syndrome
Since CRH induces CNS arousal, these neuroendocrine findings suggest a new mechanism whereby the lethargy of Chronic Fatigue Syndrome patients may be explained. [grantome.com]
Chronic Fatigue Syndrome. N.Y. Wiley 1993; pp. 83-101. 3. Jason LA, Richman JA, Rademaker AW, et al. A community-based study of chronic fatigue syndrome. Arch Intern Med. 1999;159:2129-2137. 4. Dowsett EG, Colby J. [healio.com]
The CDC believes EBV reactivation plays no role in chronic fatigue syndrome. [phoenixrising.me]
Pender ties in other autoimmune factors, many of which are found in Chronic Fatigue Syndrome as well. [simmaronresearch.com]
- Hodgkin Lymphoma
The presence of non-caseating granulomata has been described and associated with Hodgkin lymphoma and non-hodgkin lymphoma [ 11 – 14 ]. [bmchematol.biomedcentral.com]
Quantitation of whole blood Epstein-Barr virus DNA is useful for assessing treatment response in patients with non-Hodgkin’s lymphoma. Int J Lab Hematol 2010;32:e106-113. 9 Khan G. Screening for Epstein-Barr virus in Hodgkin’s lymphoma. [degruyter.com]
They have established a link with many disorders including certain types of cancers such as Hodgkin’s lymphoma, a wide variety of B-cell lymphomas, some T-cell lymphomas, nose-throat cancer, and some gastric cancers. [wellnessresources.com]
Epstein-Barr virus is also associated with Hodgkin lymphoma, in which the Epstein-Barr virus genome is present in the Reed-Sternberg cell. [emedicine.medscape.com]
The diagnosis of chronic active EBV infection with mosquito bite hypersensitivity and polymorphic lymphoproliferation simulating Hodgkin's lymphoma was made. [scielo.org.mx]
- Sepsis
[…] aminotransferase (ALT) 50 U/L (normal range: 9-47 U/L), total bilirubin 16.6 mg/dL (normal range: 0.3-1.2 mg/dL) with a direct bilirubin of 4.9 mg/dL (normal range: 0.0-0.3 mg/dL) at this point in time broad spectrum antibiotics were started for suspected sepsis [austinpublishinggroup.com]
He was treated according to the HLH-2004 treatment guideline 16 and responded transiently, but later developed bowel perforation and died of sepsis. Figure 2 Case 1. (A) Perforated colon at 5 years of age. [scielo.org.mx]
Prior to admission to our institution the patient was at an outside hospital and was being treated for sepsis with combinations of antibiotics including intravenous vancomycin, meropenem, echinocandin, metronidazole, and piperacillin tazobactam for 2 [bmchematol.biomedcentral.com]
The transplantation-related complications included sepsis (n=2), veno-occlusive disease (n=1), graft-versus-host disease (n=1), thrombotic microangiopathy (n=1), pneumonia (n=1), and pulmonary edema (n=1). [jid.oxfordjournals.org]
However, recognizing the long-term risks of overwhelming sepsis due to post-splenectomy state, this case series and review of the literature advocates conservative management only if hemodynamics are stable, and the blood transfusion requirement does [hopkinsguides.com]
Respiratoric
- Pneumonia
In addition to these problems, EBV is linked to swelling of the brain or spinal cord or the tissues covering the brain and spinal cord, swelling of the eye nerve, swelling of the pancreas, swelling of the heart, and injury to the lungs (including pneumonia [sharecare.com]
Abstract Fatal T-cell lymphomas developed in three patients with a chronic illness manifested by fever, pneumonia, dysgammaglobulinemia, hematologic abnormalities, and extraordinarily high titers of antibody to the Epstein–Barr virus (EBV) capsid antigen [nejm.org]
This disorder may cause chronic tiredness and fevers and sometimes be complicated by life threatening problems such as multi-organ failure, chronic (ongoing) pneumonia, and lymphoproliferative diseases (diseases involving the lymph nodes which could eventually [clinicaltrials.gov]
The transplantation-related complications included sepsis (n=2), veno-occlusive disease (n=1), graft-versus-host disease (n=1), thrombotic microangiopathy (n=1), pneumonia (n=1), and pulmonary edema (n=1). [jid.oxfordjournals.org]
He was subsequently hospitalized five times in 3 years because of acute pharyngotonsillitis, upper respiratory infection, bronchiolitis, and pneumonia and experienced recurrent fever two or three times per month. [scielo.org.mx]
- Pharyngitis
These symptoms persisted for months after treatment had reduced the severity of the myalgias and lowered the sedimentation rate: periodically disabling fatigue (33%), recurrent pharyngitis (30%), sleep disorder (65%) and arthralgias (70%). [unboundmedicine.com]
Pharyngitis and abnormal LFTs tip-off toward IM rather than GAS pharyngitis. Roommates, household contacts: no increased risk IM routinely. EBV-specific antibody profile helpful especially if heterophile (-) IM. [hopkinsguides.com]
EBV is found worldwide and is a common cause of viral pharyngitis, especially in young adults. [medicinenet.com]
Acetaminophen and saline gargles usually control the discomfort caused by enlarged lymph nodes and pharyngitis. [infectiousdiseaseadvisor.com]
Skin
- Eruptions
Among them, hydroa vacciniforme-like eruption is one of the best-known features. Although rare, mucosal ulcers have been reported to be associated with EBV as a result of primary infection or immune suppression. [karger.com]
[…] elderly patient with chronic active Epstein-Barr virus infection with mixed cryoglobulinemia and review of the literature. ( 22895834 ) Ichinose K....Kawakami A. 2013 41 Chronic active Epstein-Barr virus infection-associated hydroa vacciniforme-like eruption [malacards.org]
Epstein-Barr virus-associated lymphoproliferative lesions presenting as a hydroa vacciniforme-like eruption: an analysis of six cases. Br J Dermatol. 2004; 151:372-80. [ Links ] 14. [scielo.org.mx]
It is copper-colored, appears mainly in the trunk, and it can develop into an extensive, confluent, maculopapular pruritic eruption that extends to palms and soles. [infectiousdiseaseadvisor.com]
Recently, cases of CAEBV have been reported that lacked major organ involvement and in which only skin symptoms, such as hypersensitivity to mosquito bites or hydroa vacciniforme-like eruptions, were seen [ 21–23 ]. [jid.oxfordjournals.org]
Workup
Further infectious workup from a nasopharyngeal swab was positive for rhinovirus detected by PCR. [austinpublishinggroup.com]
Infectious Mononucleosis Workup. Medscape. Available online at http://emedicine.medscape.com/article/222040-workup. Accessed June 13, 2016. (Aug 2004) Hess, R. [labtestsonline.it]
Splenomegaly of 10.76 cm was found incidentally during workup. [scielo.org.mx]
Ultrasound
- Enlargement of the Liver
Symptoms Symptoms of EBV infection can include fatigue fever inflamed throat swollen lymph nodes in the neck enlarged spleen swollen liver rash Many people become infected with EBV in childhood. [cdc.gov]
The possible complications of EBV infection may include an enlarged spleen, jaundice, liver inflammation, anemia, splenic rupture, swollen tonsils, breathing difficulties, rash, irregular heartbeats, and a possible increased risk for cancer. [medicinenet.com]
Treatment
Fifty days after the start of treatment, the patient developed respiratory insufficiency, treatment refractory hypotension, gastrointestinal hemorrhages, and renal failure. EBV load had increased to 3.5×10 6 copies/mL. [academic.oup.com]
Expanded Access : Baylor College of Medicine has indicated that access to an investigational treatment associated with this study is available outside the clinical trial. [clinicaltrials.gov]
You can help by adding to it. ( February 2019 ) Treatment [ edit ] The only known cure for CAEBV is allogenic haematopoietic stem cell transplant (HSCT), with all other treatment options ( rituximab, cytotoxic chemotherapy and immunosuppressive therapy [en.wikipedia.org]
She is reputed to have gone to Belgium for treatment and hence recovered. [2] Contents 1 Symptoms 2 Notable studies 2.1 Possible treatment 3 Learn more 4 See also 5 References Symptoms [ edit | edit source ] Fever Liver dysfunction Enlarged spleen Swollen [me-pedia.org]
The ultimate prognosis of CAEBV is very poor and to date there are no established treatment strategies for this disorder. [nature.com]
Prognosis
Prognosis - Chronic Active Epstein Barr Virus Infection Not supplied. Treatment - Chronic Active Epstein Barr Virus Infection Not supplied. Resources - Chronic Active Epstein Barr Virus Infection Not supplied. [checkorphan.org]
Epileptic Spasms After Stem Cell Transplantation for Chronic Epstein-Barr Virus Infection Stem cell transplantation has been performed for various diseases, contributing to a markedly improved prognosis in some cases. [drcalapai.net]
[ edit ] Without HSCT the condition is inevitably fatal and even HSCT is no guarantee, with a significant portion of patients dying from the disease progression. [8] Factors indicative of a poor prognosis include: thrombocytopenia, late onset of the [en.wikipedia.org]
The majority of people with EBV have a good prognosis; a few have a more guarded prognosis. There is no vaccine for EBV, and prevention is difficult. [medicinenet.com]
Acquired HPS is a hyperinflammatory syndrome associated with a variety of underlying conditions such as severe infectious diseases, autoimmune diseases, malignancies, and acquired immune deficiency syndrome. [8] The prognosis of adult patients with HPS [journals.lww.com]
Etiology
An etiologic relation between Epstein-Barr virus replication and the clinical manifestations of this syndrome is further shown by the response of each patient to acyclovir therapy. [annals.org]
In adolescents older than 12 years, the prevalence of CFS was almost 0.15%.5 The etiology of CFS is unknown. Many patients recall a viral infection that seems to have triggered their chronic fatigue. [healio.com]
Intracranial aneurysm etiologies include atherosclerosis, hypertension, vasculopathy, trauma, drug abuse, neoplasm, and infection. [ajnr.org]
Occult malignancies are also etiologies of such a clinical presentation, especially in elderly population [ 6 – 8 ]. [bmchematol.biomedcentral.com]
Hooks JJ: Possibility of a viral etiology in recurrent aphthous ulcers and Behçet's syndrome. J Oral Pathol 1978;7:353-364. [karger.com]
Epidemiology
Epidemiology EBV is a ubiquitous, worldwide pathogen that is harbored persistently by virtually all adults, regardless of geographic location. [pedsinreview.aappublications.org]
the Departments of Pediatrics and Epidemiology and Public Health, Yale University School of Medicine, New Haven, Conn.; and the Pathology Department, Stanford University School of Medicine, Palo Alto, Calif. Address reprint requests to Dr. [nejm.org]
However, changes in economic status may have changed both the age of initial infection and the incidence of infectious mononucleosis since the large epidemiologic studies were completed. [emedicine.medscape.com]
Epstein-Barr virus-associated Hodgkin’s disease: epidemiologic characteristics in international data. Int J Cancer. 1997 Feb;70(4):375- 82. [ Links ] 29. Nie Y, Sun Y, Wang Y, Liu C, Zhao C, Luo B. [scielo.org.co]
The changing epidemiology of infectious mononucleosis? J Infect. 2002;45(2):107-9. [hopkinsguides.com]
Pathophysiology
EBV+ LPD ). [2] Presentation [ edit ] The most common symptoms of CAEBV include: [1] [3] [4] [5] Complications include: [1] [3] [5] Pathophysiology [ edit ] It arises from the cells that constitute the immune system, most often the T-cells and NK cells [en.wikipedia.org]
Studying adolescents following EBV infection undoubtedly will prove important for delineating the pathophysiology of both infectious mononucleosis and CFS. [healio.com]
The pathophysiological mechanism of these features that mimic liver failure is related to macrophages activated by high levels of cytokines, which are secreted by proliferating T lymphocytes. [journals.lww.com]
Prevention
China Yi Zeng, Cangwu Institute for Nasopharyngeal Carcinoma Control and Prevention - China Stephen J. [nsuworks.nova.edu]
Prevention - Chronic Active Epstein Barr Virus Infection Not supplied. Diagnosis - Chronic Active Epstein Barr Virus Infection Not supplied. Prognosis - Chronic Active Epstein Barr Virus Infection Not supplied. [checkorphan.org]
This list is a group of supplements that inhibit Th1 but also prevent its reactivation. I plan on creating a list of EBV inhibitors that also increase Th1 cells. To prevent EBV reactivation you want to take Th1 supplements instead. [selfhacked.com]
Is it possible to prevent an Epstein-Barr virus infection? Is there an EBV vaccine? There is no vaccine available to prevent EBV infections. [medicinenet.com]
Symptoms Transmission Diagnosis Prevention & Treatment Epstein-Barr virus (EBV), also known as human herpesvirus 4, is a member of the herpes virus family. It is one of the most common human viruses. EBV is found all over the world. [cdc.gov]