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Spontaneous retropharyngeal haematoma attributable to Epstein-Barr virus infection

Published online by Cambridge University Press:  29 June 2007

T. M. Jones ,
G. O. Owen  and
P. Morar
T. M. Jones*
Affiliation:
University Department of Otolaryngology, The Royal Liverpool University Hospital, Prescot Street, Liverpool, UK
G. O. Owen
Affiliation:
University Department of Otolaryngology, The Royal Liverpool University Hospital, Prescot Street, Liverpool, UK
P. Morar
Affiliation:
University Department of Otolaryngology, The Royal Liverpool University Hospital, Prescot Street, Liverpool, UK
*
Address for correspondence: Dr T. M. Jones, University Department of Otolaryngology, The Royal Liverpool University Hospital, Prescot Street, Liverpool L7 8XP.
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Abstract

Life-threatening sequelae of Epstein-Barr virus infection are uncommon but may present as: local pharyngeal manifestations, splenic rupture, neurological and haematological disorders and altered hepatic function. We present a case of retropharyngeal haematoma with posterior hypopharyngeal wall necrosis, thrombocytopenia and altered clotting function as a result of Epstein-Barr virus infection. A review of the literature on retropharyngeal haematoma reveals this to be the only recorded case which can be directly attributed to Epstein-Barr virus infection.

Keywords

Epstein-Barr virusHaematomaPharynx
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 11 , November 1996 , pp. 1075 - 1077
Copyright
Copyright © JLO (1984) Limited 1996

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References

Al-Fallouji, H. K., Snow, D. G., Kuo, M. J., Johnson, P. J. E. (1993) Spontaneous retropharyngeal haematoma: two cases and a review of the literature. Journal of Laryngology and Otology 107: 649–650.CrossRefGoogle Scholar
Ali, J. (1993) Spontaneous rupture of the spleen in patients with infectious mononucleosis. Canadian Journal of Surgery 36: 49–52.Google ScholarPubMed
Connelly, K. P., DeWitt, L. D. (1994) Neurological complications of infectious mononucleosis. Paediatric Neurology 10: 181–184.CrossRefGoogle ScholarPubMed
Dingle, A. F., Clifford, K. M. A., Flood, L. M. (1993) Retropharyngeal haematoma: a diagnosis for concern? Journal of Laryngology and Otology 107: 356–358.CrossRefGoogle ScholarPubMed
Iishi, Y., Kosaka, M., Mitzuguchi, T., Toyota, K., Takaue, Y., Kawano, Y., Saito, S. (1991) Suppression of haematopoiesis by activated T cells in infectious mononucleosis associated with pancytopenia. International Journal of Haematology 54: 65–73.Google ScholarPubMed
Levy, M., Kelly, J. P., Kaufman, D. W., Shapiro, S. (1993) Risk of agranulocytosis and aplastic anaemia in relation to history of infectious mononucleosis: a report from the international agranulocytosis and aplastic anaemia study. Annals of Haematology 67: 187–190.CrossRefGoogle Scholar
Markin, R. S. (1994) Manifestations of Epstein-Barr virusassociated disorders in liver. Liver 14: 1–13.CrossRefGoogle ScholarPubMed
Penman, H. G. (1970) Fatal infectious mononucleosis: A critical review. Journal of Clinical Pathology 23: 765–771.CrossRefGoogle ScholarPubMed
Stevenson, D. S., Webster, G., Stewart, I. A. (1992) Acute tonsillectomy in the management of infectious mononucleosis. Journal of Laryngology and Otology 106: 989–991.CrossRefGoogle ScholarPubMed
Tazawa, Y., Nishinomiya, F., Noguchi, H., Tadaka, G., Tsuchiya, S., Sumazaki, R., Takita, H., Kanno, H., Nose, M., Konno, T. (1993) A case of fatal infectious mononucleosis presenting with fulminant hepatic failure associated with an extensive CD8-positive lymphocyte infiltration in the liver. Human Pathology 24: 1135–1139.CrossRefGoogle ScholarPubMed
Westmore, G. A. (1990) Cervical abscess: a life-threatening complication of infectious mononucleosis. Journal of Laryngology and Otology 104: 358–359.CrossRefGoogle ScholarPubMed