[A young woman with fever and upper abdominal pain].

Abstract

A 21-year-old woman with no prior medical history presented with upper abdominal pain, fever and pain in the left hemithorax that worsened with breathing. Blood tests showed leukocytosis with atypical lymphocytes, elevated D-dimer, and liver function abnormalities. The CT angiogram revealed splenomegaly with splenic infarctions. This was found to be due to an EBV infection.