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- Andrew Cameron, Kosalan Akilan, and David Carr.
- *Department of Emergency Medicine,University of Toronto,Toronto, ON.
- Can J Emerg Med. 2019 Jan 1; 21 (1): 154-156.
AbstractInfectious mononucleosis is typically a self-limited viral infection of adolescence and early adulthood that resolves in a period of weeks, causing no major sequelae. We describe a case of a healthy 18-year-old female diagnosed with infectious mononucleosis who also presented with right upper quadrant abdominal pain, moderate transaminitis, and cholestatic biochemistry. An ultrasound revealed acute acalculous cholecystitis, generally a condition seen in the context of critical illness. Further investigating emergency department patients with infectious mononucleosis is often not indicated, but may be important for those who present atypically.
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