CHRONIC ACTIVE EPSTEIN-BARR-VIRUS INFECTION IN AN ADULT

被引:9
作者
SAKAMOTO, T
UEMURA, M
FUKUI, H
YOSHIKAWA, M
FUKUI, K
KINOSHITA, K
KOJIMA, H
MATSUMORI, T
TSUJII, T
SUMAZAKI, R
机构
[1] From the Third Department of Internal Medicine, Nara Medical University, Kashihara
[2] Department of Pediatrics, University of Tsukuba Institute of Clinical Medicine, Tsukuba
关键词
HEPATOSPLENOMEGALY; PANCYTOPENIA; LIVER DISTURBANCE; SOUTHERN BLOT HYBRIDIZATION;
D O I
10.2169/internalmedicine.31.1190
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a rare adult case of chronic active Epstein-Barr virus (EBV) infection. A 54-year-old woman was admitted to our hospital with intermittent fever, weight loss, hepatosplenomegaly, pancytopenia and liver disturbance. In serological tests for EBV, anti-virus capsid antigen (VCA)-IgG antibody and anti-early antigen (EA)-IgG antibody were markedly elevated and anti-EBV nuclear antigen (EBNA) antibody was negative. EBV genome was detected in the bone marrow nucleated cells and peripheral lymphocytes by Southern blot hybridization. The patient developed left facial edema, bilateral breast tumor and pneumonia. She died one year after admission in spite of the administration of prednisolone, interferon and acyclovir.
引用
收藏
页码:1190 / 1196
页数:7
相关论文
共 23 条
[1]  
Epstein M.A., Achong B.G., Barr Y.M., Virus particles in cultured lymphoblasts from Burkitt's lymphoma, Lancet, 1, (1964)
[2]  
Osato T., Epstein-Barr virus infection, Naika, 53, (1984)
[3]  
Joncas J., Lapointe N., Gervais F., Leyritz M., Unusual prevalence of Epstein-Barr virus early antigen (EBV-EA) antibodies in ataxia telangiectasia, J Immunol, 119, (1977)
[4]  
Okano M., Mizuno F., Osato T., Takahashi Y., Sakiyama Y., Matsumoto S., Wiskott-Aldrich syndrome and Epstein-Barr virus-induced lymphoproliferation, Lancet, 2, (1984)
[5]  
Petersen J.M., Tubbs R.R., Savage R.A., Et al., Small nonclcaved B cell Burkitt-like lymphoma with chromosome t (8
[6]  
14) translocation and Epstein-Barr virus nuclear-associated antigen in a homosexual man with acquired immune deficiency syndrome, Am J Med, 78, (1985)
[7]  
Hanto D.W., Sakamoto K., Purtilo D.T., Simmons R.L., Najarian J.S., The Epstein-Barr virus in the pathogenesis of posttransplant Iymphoproliferativc disorders, Surgery, 90, (1981)
[8]  
Crawford D.H., Sweny P., Edwards J.M.B., Janossy G., Long-term T-cell-mediated immunity to Epstein-Barr virus in renal-allograft recipients receiving cyclosporin A, Lancet, 1, (1981)
[9]  
Shizawa Y., Shishido S., Kawabata Y., An autopsied case of chronic active Epstein-Barr virus (EBV) infection with various system, J Jpn Assoc Inf Dis, 65, (1991)
[10]  
Schooley R.T., Carey R.W., Miller G., Et al., Chronic Epstein-Barr virus infection associated with fever and interstitial pneumonitis, Ann Intern Med, 104, (1986)