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KMID : 0387820100170010059
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Clinical Pediatric Hematology-Oncology
2010 Volume.17 No. 1 p.59 ~ p.63
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A Case of Concurrent Cholestatic Jaundice and Hemolytic Anemia Due to Epstein-Barr Virus Infection
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Hong Yeon-Ju
Choi Hye-Sun
Hwang Hui-Sung
Lee Soo-Young
Chung Seung-Yun
Kang Jin-Han
Jeong Chang-Mo
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Abstract
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The patients infected with Epstein-Barr virus (EBV) experienced asymptomatic or mild flu-like illness. Most of symptoms with EBV infection were disappeared within several weeks, although there were various clinical manifestations. Jaundice with elevated liver enzymes was shown about 5~25%, but hemolytic anemia was rare during EBV infection. Some cases due to EBV infection had been persistent or aggravated course of hemolytic anemia. A twelve-year-old boy was admitted due to fever, and jaundice. Total bilirubin with direct bilirubin was elevated with moderately increased aminotransferase levels. He developed mild hemolytic anemia with positive Coomb’s test and high titer of cold agglutinin during hospitalization. The symptoms were spontaneously improved with conservative care. We report a case of concurrent cholestatic jaundice with hemolytic anemia during acute EBV infection.
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KEYWORD
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Epstein-Barr virus, Cholestatic jaundice, Hemolytic anemia
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