Epstein-Barr Virus (EBV) infection related thrombocytosis : A Case Report

Suman Adhikari; Rewati Raman Malla; Manoj Shah; Ananta Upreti; Bhawesh Thapa

Suman Adhikari National Academy of Medical Sciences (NAMS), Bir Hospital, Kathmandu, Nepal
Rewati Raman Malla National Academy of Medical Sciences (NAMS), Bir Hospital, Kathmandu, Nepal
Manoj Shah National Academy of Medical Sciences (NAMS), Bir Hospital, Kathmandu, Nepal
Ananta Upreti National Academy of Medical Sciences (NAMS), Bir Hospital, Kathmandu, Nepal
Bhawesh Thapa National Academy of Medical Sciences (NAMS), Bir Hospital, Kathmandu, Nepal

Abstract

DOI: https://doi.org/10.3126/jaim.v7i2.23491

EBV infection can occur worldwide. We managed a 17 year old male who developed transient pancytopenia followed by thrombocytosis concurrent with EBV infection. To the best of our knowledge we have not encountered any cases of thrombocytosis concurrent with EBV infection before. Our case was diagnosed as a case of EBV infection with the help of serology and managed conservatively. In our case, though it is uncommon to find thrombocytosis due to EBV infection, it is possible that following pancytopenia concurrent with the EBV infection, the patient might have developed secondary or reactive thrombocytosis due to elevated endogenous levels of thrombopoietin, interleukin-6, catecholamines.

Keywords: Epstein-Barr Virus (EBV), infection, thrombocytosis