60-year-old woman with fever, icterus. and abdominal lymphomas

Background: Infectious mononucleosis usually manifests in adolescents and y oung adults; Medical history in elderly patients is often atypical and seve re. Case Report: We report on the medical history of a 60-year-old woman, who c ame into our hospital with fever, icterus, decreasing performance status an d abdominal pain. Splenomegaly and multiple abdominal lymph nodes could be found by ultrasound and CT scan. Endoscopically severe mucosal alterations could be found in the upper and lower gastrointestinal tract. Serologically ,, an acute EBV infection mas diagnosed. With symptomatic treatment, the cl inical course was without any problems. Conclusion: Casuistically, we described the atypical medical history of an elderly patient with infectious mononucleosis. In each undefined lymphadeno pathy of elderly patients, an EBV infection should be included into the dif ferential diagnosis.