Cytomegalovirus-Associated Splenic Infarction

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 (>38.3°C) 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...