Abstract
Splenic infarction is an extremely rare complication of Epstein-Barr virus (EBV) infection. We report a case of a healthy young man who presented with fever and pharyngitis and was diagnosed with acute EBV infection. During his hospital stay, he developed sudden left upper quadrant abdominal pain. Computed tomography scan of the abdomen demonstrated hepatosplenomegaly and multiple splenic hypodense lesions suggestive of infarcts. The patient was managed conservatively and discharged on prophylactic anticoagulation therapy. He is currently under close clinical follow up to minimize the risk of splenic rupture. We aim to highlight the importance of suspecting splenic infarction in patients presenting with fever, splenomegaly, and new onset abdominal pain, particularly in the setting of an ongoing or recent EBV infection.
Keywords
Publication details
- DOI
- 10.5001/omj.2025.27
- Journal
- Oman Medical Journal, 41(1)
- Publisher
- Oman Medical Specialty Board
- Open access
- Gold open access
- License
- CC BY-NC 4.0
Cite this article
APA 7
Kalfoutzou, A., Dimitrakoudi, M., Mylonakis, A., Kanellis, T., & Mostratou, E. (2026). Splenic Infarcts in an Adult Male with Epstein-Barr Virus Infection: A Rare Complication. Oman Medical Journal, 41(1). https://doi.org/10.5001/omj.2025.27
MLA 9
Kalfoutzou, Areti, et al. "Splenic Infarcts in an Adult Male with Epstein-Barr Virus Infection: A Rare Complication." Oman Medical Journal, vol. 41, no. 1, 2026. https://doi.org/10.5001/omj.2025.27.
Chicago (author–date)
Kalfoutzou, Areti, Maria Dimitrakoudi, Adam Mylonakis, Theodoros Kanellis, and Eleni Mostratou. 2026. "Splenic Infarcts in an Adult Male with Epstein-Barr Virus Infection: A Rare Complication." Oman Medical Journal 41 (1). https://doi.org/10.5001/omj.2025.27.
Harvard
Kalfoutzou, A., Dimitrakoudi, M., Mylonakis, A., Kanellis, T. and Mostratou, E. (2026) 'Splenic Infarcts in an Adult Male with Epstein-Barr Virus Infection: A Rare Complication', Oman Medical Journal, 41(1). doi:10.5001/omj.2025.27.
Vancouver
Kalfoutzou A, Dimitrakoudi M, Mylonakis A, Kanellis T, Mostratou E. Splenic Infarcts in an Adult Male with Epstein-Barr Virus Infection: A Rare Complication. Oman Medical Journal. 2026;41(1). doi:10.5001/omj.2025.27
IEEE
A. Kalfoutzou, M. Dimitrakoudi, A. Mylonakis, T. Kanellis, and E. Mostratou, "Splenic Infarcts in an Adult Male with Epstein-Barr Virus Infection: A Rare Complication," Oman Medical Journal, vol. 41, no. 1, 2026, doi: 10.5001/omj.2025.27.