RESUMO
Infectious mononucleosis is an EBV-induced infection, and this is a self-limiting clinical syndrome with such characteristics as fever, pharyngitis, headache, splenomegaly, hepatomegaly and multiple lymphadenopathy among children and young adults. On the other hand, EBV infection-induced gastrointestinal symptoms like anorexia, nausea, vomiting, dyspepsia, abdominal pain, gastric bleeding and diarrhea are non-specific signs and there is less of a chance of EBV infection being involved with gastrointestinal disease. Especially, the relation of gastric cancer and gastric lymphoma with EBV infection is well defined, but other EBV-related gastrointestinal diseases have rarely been reported. Therefore, we report here on a case of acute erosive EBV gastritis that was diagnosed as EBV-induced infectious mononucleosis, and this was confirmed by esophagogastroduodenoscopy with biopsy.
Assuntos
Criança , Humanos , Adulto Jovem , Dor Abdominal , Anorexia , Biópsia , Diarreia , Dispepsia , Endoscopia do Sistema Digestório , Infecções por Vírus Epstein-Barr , Febre , Gastrite , Gastroenteropatias , Mãos , Cefaleia , Hemorragia , Hepatomegalia , Herpesvirus Humano 4 , Mononucleose Infecciosa , Doenças Linfáticas , Linfoma , Náusea , Faringite , Esplenomegalia , Neoplasias Gástricas , VômitoRESUMO
Infectious mononucleosis is an EBV-induced infection, and this is a self-limiting clinical syndrome with such characteristics as fever, pharyngitis, headache, splenomegaly, hepatomegaly and multiple lymphadenopathy among children and young adults. On the other hand, EBV infection-induced gastrointestinal symptoms like anorexia, nausea, vomiting, dyspepsia, abdominal pain, gastric bleeding and diarrhea are non-specific signs and there is less of a chance of EBV infection being involved with gastrointestinal disease. Especially, the relation of gastric cancer and gastric lymphoma with EBV infection is well defined, but other EBV-related gastrointestinal diseases have rarely been reported. Therefore, we report here on a case of acute erosive EBV gastritis that was diagnosed as EBV-induced infectious mononucleosis, and this was confirmed by esophagogastroduodenoscopy with biopsy.
Assuntos
Criança , Humanos , Adulto Jovem , Dor Abdominal , Anorexia , Biópsia , Diarreia , Dispepsia , Endoscopia do Sistema Digestório , Infecções por Vírus Epstein-Barr , Febre , Gastrite , Gastroenteropatias , Mãos , Cefaleia , Hemorragia , Hepatomegalia , Herpesvirus Humano 4 , Mononucleose Infecciosa , Doenças Linfáticas , Linfoma , Náusea , Faringite , Esplenomegalia , Neoplasias Gástricas , VômitoRESUMO
Gastric mucosal calcinosis (GMC) is a very rare condition that is characterized by the nodular deposition of calcium salts in the gastric mucosa. It has been associated with renal failure, gastric cancer, ingestion of aluminum- containing antacids and the use of sucralfate in organ transplant patients. The etiology of this condition is uncertain, but several theories have been proposed; the condition is due secondarily to hyperparathyroidism in renal failure and to the alkalinization of the gastric mucosa. We report here on two patients who had long-term use of bismuth and/or aluminum-containing antacids to treat their gastro-esophageal reflux symptoms. The esophagogastroduodenoscopy revealed acute gastritis patterns, and GMC was confirmed histologically with biopsy. When one patient stopped ingesting bismuth-containing antacid solution, the follow-up esophagogastroduodenoscopy and the biopsy revealed a completely improved state. We report here on these interesting cases and we include a brief review of the literature.