Epstein-Barr virus infection is a benign disease, which may occasional
ly be fatal, particularly in children. Epstein-Barr virus infection is
rare in elderly: subjects and appears to have a self-limited course.
An unusual case of fulminant hepatitis due to primary Epstein-Barr vir
us infection in a 62-year-old male 18 days after a cardiosurgical oper
ation and blood transfusions is described in the present paper. Post-m
ortem examination of the liver showed massive hepatic necrosis. The et
iology was established by increase in IgM antibodies to Epstein-Barr v
irus (titer 1:3.120) in serum and by cellular expression of Epstein-Ba
rr virus DNA in liver tissue.