Objective:

To report a case of acute acalculous cholecystitis (AAC) in a child associated with Epstein-Barr virus (EBV) and cytomegalovirus (CMV) coinfection during infectious mononucleosis.

Approach:

Key Findings:

• The patient had EBV and CMV coinfection, leading to AAC during infectious mononucleosis.
• Clinical presentation included fever, abdominal pain, lymphadenopathy, and elevated liver enzymes.
• Conservative management was effective, avoiding unnecessary surgical intervention.

Interpretation:

Limitations:

• The rarity of AAC in children may limit generalizability of findings.
• Further studies are needed to understand the mechanisms of EBV and CMV coinfection in AAC.

Conclusion:

Attribution Notice

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