Publication details
Když se v noci probudí pro bolesti na hrudi
| Title in English | An unexpected cause of acute chest pain in adolescent boy |
|---|---|
| Authors | |
| Year of publication | 2013 |
| Type | Article in Periodical |
| Magazine / Source | Pediatrie pro praxi |
| MU Faculty or unit | |
| Citation | |
| Web | http://www.pediatriepropraxi.cz/pdfs/ped/2013/05/11.pdf |
| Field | Oncology and hematology |
| Keywords | splenic rupture; Kehrs sign; hemoperitoneum; Epstein-Barr virus; infectious mononucleosis; peripheral T-cell lymphoma. |
| Description | We are presenting the case of a boy admitted to hospital for acute chest pain; the boy has been diagnosed with spontaneous rupture of the spleen. Based on laboratory test results, we anticipated EBV (Epstein-Barr virus) etiology of the boy’s condition, but surprisingly, the histological analysis determined a rare type of non-Hodgkin lymphoma. Spleen rupture belongs among the life-threatening complications of infectious mononucleosis, and the speed of its diagnosis is of key import for the patient’s prognosis quoad vitam. Peripheral T-cell lymphoma is an entirely rare paediatric disease; only a few cases of incidence of such tumor in children has been published as of yet. Please find attached the development and the differential diagnostic nature of this very unique case. |