Epstein-Barr virus infection mimicking acute appendicitis: a case report

doi:10.5847/wjem.j.1920-8642.2023.027

World Journal of Emergency Medicine ›› 2023, Vol. 14 ›› Issue (2): 148-151.doi: 10.5847/wjem.j.1920-8642.2023.027

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Epstein-Barr virus infection mimicking acute appendicitis: a case report

Li Wang¹, Wei-hua Gong²()

¹Department of Emergency Medicine, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
²Department of Surgery, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310052, China

Received:2022-06-03 Online:2023-03-03 Published:2023-03-01
Contact: Wei-hua Gong E-mail:weihuagong@zju.edu.cn

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Abstract

Li Wang, Wei-hua Gong. Epstein-Barr virus infection mimicking acute appendicitis: a case report[J]. World Journal of Emergency Medicine, 2023, 14(2): 148-151.

Figures/Tables 3

Figure 1.

Table 1.

Figure 2.

References 17

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Variables	Reference range	Admission	Postoperative day1	Postoperative day 7	Postoperative day 14
WBCs, ×10⁹/L	4-10	3.10	3.20	4.00	3.20
Monocytes, %	4-12	3.50	1.10	19.60	15.60
Absolute value of monocytes, ×10⁹/L	0.2-1.2	0.11	0.04	0.78	0.50
Absolute value of lymphocytes, ×10⁹/L	0.8-4.0	0.60	0.31	0.69	0.71
Lymphocyte, %	20-40	19.10	9.70	17.20	22.30
Neutrophils, %	50-70	76.80	89.00	61.20	57.00
Absolute value of neutrophils, ×10⁹/L	2-7	2.34	2.85	2.44	1.84
Hb, g/L	120-160	147	112	88	92
Platelet, ×10⁹/L	100-300	101	47	126	261
PCT, ng/mL	<0.5	4.37	5.82	0.60	0.26
CRP, mg/L	<10.0	63.80	54.60	39.40	3.90
Albumin, g/L	35-52	35.30	25.00	41.20	42.60
Total bilirubin, μmol/L	5.0-21	63.20	59.70	28.00	21.60
Indirect bilirubin, μmol/L	5-20	26.10	23.60	15.10	12.70
Direct bilirubin, μmol/L	< 6	37.10	36.10	12.90	8.90
AST, U/L	15-40	293	261	72	147
ALT, U/L	9-50	588	661	69	76
Alk phos, U/L	< 248	1,401	1,328	787	456
Urea nitrogen, mmol/L	2.8-72	12.50	10.60	14.00	12.70
Creatinine, μmol/L	40-106	260	265	339	229

Epstein-Barr virus infection mimicking acute appendicitis: a case report

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