We report a case of a 25-year-old obese, currently smoking, female diagnosed with EBV infectious mononucleosis. The patient complained of sudden onset abdominal pain with progressively increasing intensity in the left upper quadrant. Abdominal CT scan showed a wedge infarct of the spleen. We present this rare case that EBV may cause splenic infarct in young adults.
Keywords: EBV; fever; infectious mononucleosis; left upper-quadrant pain; lymphadenopathy; splenic infarct; splenomegaly; young female.