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Table of Contents   
LETTER TO THE EDITOR  
Year : 2013  |  Volume : 6  |  Issue : 5  |  Page : 590-591
Acute primary Epstein-Barr virus infection in a well-to-do man: Existence in the area with high rate of seropositivity


1 Vital Life Center, Bumrungrad Hospital, Bangkok, Thailand
2 Visiting Professor, Hainan Medical University, Hainan, China

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Date of Web Publication3-Jun-2014
 

How to cite this article:
Chaiyasit K, Wiwanitkit V. Acute primary Epstein-Barr virus infection in a well-to-do man: Existence in the area with high rate of seropositivity. Ann Trop Med Public Health 2013;6:590-1

How to cite this URL:
Chaiyasit K, Wiwanitkit V. Acute primary Epstein-Barr virus infection in a well-to-do man: Existence in the area with high rate of seropositivity. Ann Trop Med Public Health [serial online] 2013 [cited 2020 Feb 22];6:590-1. Available from: http://www.atmph.org/text.asp?2013/6/5/590/133758
Dear Sir,

Epstein-Barr virus (EBV) infection is a common viral infection that can be seen around the world. This virus is easily transmittable and can cause important disease, infectious mononucleosis, in pediatric population. [1] In the area with good public health system, the existence of disease can be seen in adult. However, in several tropical developing countries where the sanitation is not good, the high rate of seropositivity can be observed in adulthood and primary EBV infection in immunocompetent adulthood is extremely rare in those settings. Here, the authors experience a case of acute primary EBV infection in a well-to-do man (24 years old) in Bangkok, Thailand. The primary complaint is the repeated oral ulcer, sore throat, and mild eye lid swelling. The patient also presented low-graded fever. He had got antibiotic, but the symptom did not improve. The patient consulted to the physician and ordered for serological test for EBV and the primary EBV infection was confirmed by rising immunoglobulin G titer. This case was suggested to have antiviral therapy and supplementation (zinc and vitamin C). This case got recovery within 10 days. Of interest, the situation of EBV seropositivity in Thailand is the same as many developing countries. The rate of seropositive is generally 100% and the diagnosis of acute primary EBV in adult is extremely rare. [2] However, the present case shows that there is still a chance, especially in the well-to-do group. In the present case, an interesting clinical presentation on eye symptom can also be seen. [3]

 
   References Top

1.Langenhuysen MM, The TH. Epstein-Barr virus in human disease. Neth J Med 1973;16:85-93.  Back to cited text no. 1
[PUBMED]    
2.Pancharoen C, Mekmullica J, Chinratanapisit S, Bhattarakosol P, Thisyakorn U. Seroprevalence of Epstein-Barr virus antibody among children in various age groups in Bangkok, Thailand. Asian Pac J Allergy Immunol 2001;19:135-7.  Back to cited text no. 2
    
3.Matoba AY. Ocular disease associated with Epstein-Barr virus infection. Surv Ophthalmol 1990;35:145-50.  Back to cited text no. 3
[PUBMED]    

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Correspondence Address:
Kamon Chaiyasit
Vital Life Center, Bumrungrad Hospital, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.133758

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