A healthy 34-year-old woman was admitted with new-onset left upper quadrant pain in the setting of a prolonged febrile illness. She had fever (>38.3⁰C) for 3 weeks associated with fatigue, lassitude, myalgia and night sweats but no weight loss. Her 1-year-old child had been recently diagnosed with “mononucleosis”. Sudden severe epigastric and left upper quadrant pain prompted her referral. Examination showed low-grade fever and mild upper abdominal tenderness without palpable spleen or lymphadenopathy.
Cytomegalovirus-associated Splenic Infarction
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