A high-school student joined the ranks of just 20 reported patients who developed infectious mononucleosis with gallbladder inflammation. After developing a fever, jaundice and abdominal pain, the girl presented to the emergency room where an ultrasound showed her gallbladder wall was more than four times the normal thickness. After ruling out hepatitis and other illnesses, doctors tested for mononucleosis. The patient recovered, and a subsequent scan showed her gallbladder was nearly back to normal thickness at discharge.

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