EBV-Tonsillitis with superinfection involving Staphylococcus aureus and Prevotella Oris leading to life-threatening bleeding in a 13-year-old girl: a case report
To our knowledge, fulminant necrotizing oropharyngitis with bilateral external carotid hemorrhage during acute EBV infection in an immunocompetent adolescent is exceedingly rare. This highlights the importance of considering anaerobic oral colonizers as potential pathogens in maxillofacial infections. Clinicians should reassess for bacterial superinfection when EBV courses are protracted or deteriorating.
Authors
- Thomas Boesing
- Burkhard Feidicker
- Eckard Hamelmann (ORCID: https://orcid.org/0000-0002-2996-8248)
- Janina Soler Wenglein (ORCID: https://orcid.org/0009-0007-2433-707X)
- Dennis Nordhoff
- Lars-Uwe Scholtz
Institutions
- Bielefeld University (DE)
- Hochschule Bielefeld (DE)
- Evangelisches Krankenhaus Bielefeld (DE)
- Klinikum Bielefeld (DE)
- Bethel University (US)
Publication Details
- Journal
- BMC Pediatrics
- Published
- 2025-12-22
- DOI
- https://doi.org/10.1186/s12887-025-06441-7
- Primary Topic
- Viral-associated cancers and disorders
- Type
- article
- Field-Weighted Citation Impact
- 0.00