Case report of patient A
A 17-year-old previously healthy girl of Russian origin (patient A)
was admitted with a 3-day history of fever, abdominal pain, and
sore throat. C-reactive protein and aspartate transanimase/alanine
transaminase were elevated (Figure 2). Heterophile antibody titers
for Epstein-Barr virus (EBV) were detected. Platelets were decreased and leukocytes were elevated, whereas hemoglobin was
within the normal reference interval (Figure 2). Tonsillectomy and
abrasio of the adenoid were performed 9 days after admission
because of increasing respiratory difficulties. Severe bleeding
necessitated a second surgery procedure the same day. Extubation
after surgery was not possible, and the patient was transferred to the
intensive care unit (ICU). Despite treatment with antibiotics
(cefuroxime), antivirals (aciclovir), and corticosteroids, her vital
parameters worsened. Because of severe bleeding and a low
platelet count, she received platelet infusions, coagulation factors
Karmar!
