Publication details

Když se v noci probudí pro bolesti na hrudi

Title in English An unexpected cause of acute chest pain in adolescent boy


Year of publication 2013
Type Article in Periodical
Magazine / Source Pediatrie pro praxi
MU Faculty or unit

Faculty of Medicine

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.

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