Loading...
Epstein-Barr virus (EBV) is a herpes virus with a worldwide prevalence of 90% in adults. Once infected, people excrete the virus in saliva intermittently throughout their lives; saliva is the medium of transmission, especially through kissing. Most infections in young children are asymptomatic. However (especially in adolescents and young adults), the virus can cause infectious mononucleosis, which typically manifests with fever, sore throat, lymphadenopathy, and malaise, accompanied by numerous atypical lymphocytes in the blood.
These authors report a rare feature of EBV infection in three female patients (age range, 10-19): multiple, painful, and tender vulvar ulcers. Only one patient had other clinical features of infectious mononucleosis…