Published in:
01-12-2020 | Mononucleosis | Images in Forensics
Fatal Epstein-Barr virus infection in an immunocompetent host: a postmortem diagnosis
Authors:
Aniello Maiese, Raffaele La Russa, Giovanna Passaro, Paola Santoro, Alessandra De Matteis, Vittorio Fineschi
Published in:
Forensic Science, Medicine and Pathology
|
Issue 4/2020
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Abstract
Meningoencephalitis is the most common neurological complication related to Epstein-Barr virus (EBV), and in immunocompetent adults, it is most commonly self-limited. We describe a case of fatal EBV infection characterized by meningoencephalitis, foci of myocarditis and interstitial nephritis in an immunocompetent 74-year-old man. The postmortem diagnosis was made based on the presence of EBV DNA in the cerebrospinal fluid and by immunohistochemical assay that showed spots of intracellular positivity to anti-EBV antibody in brain tissue.