Acute acalculous cholecystitis in children due to EBV and cytomegalovirus infection: a rare case report and review of the literature - Scorecard - MDSpire
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Acute acalculous cholecystitis in children due to EBV and cytomegalovirus infection: a rare case report and review of the literature
Clinical Scorecard: A Rare Case of Acute Acalculous Cholecystitis in Pediatric Patients Associated with EBV and CMV Infections: A Comprehensive Literature Review
At a Glance
Category
Detail
Condition
Acute Acalculous Cholecystitis (AAC)
Key Mechanisms
EBV and CMV coinfection leading to infectious mononucleosis and subsequent AAC.
Target Population
Pediatric patients, particularly those with infectious mononucleosis.
Care Setting
Pediatric emergency department
Key Highlights
AAC is rare in children and often misdiagnosed.
EBV and CMV coinfection can complicate infectious mononucleosis.
Conservative management can be effective in AAC without surgical intervention.
Recognition of viral AAC is crucial to avoid unnecessary antibiotic use.
Guideline-Based Recommendations
Diagnosis
Consider EBV/CMV coinfection in children presenting with fever and abdominal pain.
Management
Conservative treatment includes fasting, intravenous fluids, antispasmodics, analgesics, and antiviral therapy.
Monitoring & Follow-up
Monitor clinical and radiological improvement to guide management decisions.
Risks
Misdiagnosis of AAC as bacterial infection may lead to unnecessary antibiotic treatment and surgical intervention.
Patient & Prescribing Data
Children with infectious mononucleosis and suspected AAC.
Acyclovir may be beneficial in managing viral infections associated with AAC.
Clinical Best Practices
Perform thorough clinical evaluation including imaging for suspected AAC.
Discontinue antibiotics if AAC is determined to be viral in origin.
Educate families on the importance of follow-up after resolution of acute symptoms.
