伝染性単核球症の臨床的検討と特異な1症例

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  • Infectious mononucleosis: A clinical study of 20 cases and a case report

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Clinical studies of 20 patients with Infectious Mononucleosis (IM) were performed from 1998 to 2003. In this study, We defined the criteria of IM as three cardinal symptoms (pyrexia, swelling of the lymph node and an increase monocytes) and the detection of serum VCA-IgM antibodies or EA-IgG antibodies. In this study, there were seven 10 year-old patients and eight 20 year-old patients. Sixteen of those cases showed symptoms of exothermic duration for less than one week. A high temperature of 38°C was recorded in 11 cases. There were 17 patients confirmed with liver dysfunction. Half of the patients needed about two weeks of recovery. Tonsillar exudates were confirmed in 18 patients, while cervical lymphadenopathy was defected in everyone. We reported a case of IM for which the diacrisis from subacute necrotizing lymphadenitis proved difficult. The patient wasa 27-year-old Japanese woman complaining of cervical lymphadenopathies and pyrexia, and the onset of tonsillitis was detected one week later.

収録刊行物

  • 口腔・咽頭科

    口腔・咽頭科 16 (3), 391-396, 2004

    日本口腔・咽頭科学会

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