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Pancreatitis and cholecystitis in primary acute symptomatic Epstein-Barr virus infection - Systematic review of the literature.
J Clin Virol. 2016 09; 82:51-55.JC

Abstract

Acute pancreatitis and acalculous cholecystitis have been occasionally reported in primary acute symptomatic Epstein-Barr virus infection. We completed a review of the literature and retained 48 scientific reports published between 1966 and 2016 for the final analysis. Acute pancreatitis was recognized in 14 and acalculous cholecystitis in 37 patients with primary acute symptomatic Epstein-Barr virus infection. In all patients, the features of acute pancreatitis or acalculous cholecystitis concurrently developed with those of primary acute symptomatic Epstein-Barr virus infection. Acute pancreatitis and acalculous cholecystitis resolved following a hospital stay of 25days or less. Acalculous cholecystitis was associated with Gilbert-Meulengracht syndrome in two cases. In conclusion, this thorough analysis indicates that acute pancreatitis and acalculous cholecystitis are unusual but plausible complications of primary acute symptomatic Epstein-Barr virus infection. Pancreatitis and cholecystitis deserve consideration in cases with severe abdominal pain. These complications are usually rather mild and resolve spontaneously without sequelae.

Authors+Show Affiliations

Pediatric Department of Southern Switzerland, Bellinzona, Switzerland. Electronic address: lisa.kottanattu@eoc.ch.Pediatric Department of Southern Switzerland, Bellinzona, Switzerland; University Children's Hospital, Inselspital, and University of Bern, Bern, Switzerland. Electronic address: sebastiano.lava@bluewin.ch.Pediatric Department of Southern Switzerland, Bellinzona, Switzerland. Electronic address: rhelbling@me.com.Pediatric Department of Southern Switzerland, Bellinzona, Switzerland; University Children's Hospital, Inselspital, and University of Bern, Bern, Switzerland. Electronic address: giacomo.simonetti@eoc.ch.Pediatric Department of Southern Switzerland, Bellinzona, Switzerland. Electronic address: mario.bianchetti@pediatrician.ch.Foundation IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Pediatric Emergency Department, Milan, Italy. Electronic address: milani.gregoriop@gmail.com.

Pub Type(s)

Journal Article
Review
Systematic Review

Language

eng

PubMed ID

27434148

Citation

Kottanattu, Lisa, et al. "Pancreatitis and Cholecystitis in Primary Acute Symptomatic Epstein-Barr Virus Infection - Systematic Review of the Literature." Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology, vol. 82, 2016, pp. 51-55.
Kottanattu L, Lava SAG, Helbling R, et al. Pancreatitis and cholecystitis in primary acute symptomatic Epstein-Barr virus infection - Systematic review of the literature. J Clin Virol. 2016;82:51-55.
Kottanattu, L., Lava, S. A. G., Helbling, R., Simonetti, G. D., Bianchetti, M. G., & Milani, G. P. (2016). Pancreatitis and cholecystitis in primary acute symptomatic Epstein-Barr virus infection - Systematic review of the literature. Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology, 82, 51-55. https://doi.org/10.1016/j.jcv.2016.06.017
Kottanattu L, et al. Pancreatitis and Cholecystitis in Primary Acute Symptomatic Epstein-Barr Virus Infection - Systematic Review of the Literature. J Clin Virol. 2016;82:51-55. PubMed PMID: 27434148.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pancreatitis and cholecystitis in primary acute symptomatic Epstein-Barr virus infection - Systematic review of the literature. AU - Kottanattu,Lisa, AU - Lava,Sebastiano A G, AU - Helbling,Rossana, AU - Simonetti,Giacomo D, AU - Bianchetti,Mario G, AU - Milani,Gregorio P, Y1 - 2016/07/01/ PY - 2016/02/29/received PY - 2016/05/24/revised PY - 2016/06/28/accepted PY - 2016/7/20/entrez PY - 2016/7/20/pubmed PY - 2018/1/3/medline KW - Acalculous cholecystitis KW - Epstein-Barr virus KW - Infectious mononucleosis KW - Pancreatitis SP - 51 EP - 55 JF - Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology JO - J Clin Virol VL - 82 N2 - Acute pancreatitis and acalculous cholecystitis have been occasionally reported in primary acute symptomatic Epstein-Barr virus infection. We completed a review of the literature and retained 48 scientific reports published between 1966 and 2016 for the final analysis. Acute pancreatitis was recognized in 14 and acalculous cholecystitis in 37 patients with primary acute symptomatic Epstein-Barr virus infection. In all patients, the features of acute pancreatitis or acalculous cholecystitis concurrently developed with those of primary acute symptomatic Epstein-Barr virus infection. Acute pancreatitis and acalculous cholecystitis resolved following a hospital stay of 25days or less. Acalculous cholecystitis was associated with Gilbert-Meulengracht syndrome in two cases. In conclusion, this thorough analysis indicates that acute pancreatitis and acalculous cholecystitis are unusual but plausible complications of primary acute symptomatic Epstein-Barr virus infection. Pancreatitis and cholecystitis deserve consideration in cases with severe abdominal pain. These complications are usually rather mild and resolve spontaneously without sequelae. SN - 1873-5967 UR - https://www.unboundmedicine.com/medline/citation/27434148/Pancreatitis_and_cholecystitis_in_primary_acute_symptomatic_Epstein_Barr_virus_infection___Systematic_review_of_the_literature_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1386-6532(16)30152-4 DB - PRIME DP - Unbound Medicine ER -