| A Case of Infectious Mononucleosis Associated with Pleural Effusion and Ascites |
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Seung-Kyoo Han, Yun-Jeong Yang, Yon-Ho Choe, Yong-Hoon Jun, Soon-Ki Kim, Byong-Kwan Son |
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Department of Pediatrics, College of Medicine, Inha University, Inchon, Korea |
| 흉막 삼출액과 복수를 동반한 전염성 단핵구증 1례 |
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한승규, 양윤정, 최연호, 전용훈, 김순기, 손병관 |
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인하대학교 의과대학 소아과학교실 |
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| Abstract |
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Infectious mononucleosis is an acute infectious disease occurring predominantly in
older children and young adults due to primary Epstein-Barr virus infection.
The clinical picture is extremely variable in both severity and duration. The disease in
children is generally mild. It is characterized clinically by fever, exudative or membranous
pharyngitis, generalized lymphadenopathy, and splenomegaly. Rarely, it complicates
neurologic involvement such as cranial nerve palsy, meningoencephalitis, and transverse
myelitis, hematologic involvement such as hemolytic anemia, immune thrombocytopenic
purpura, and aplastic anemia, rupture of spleen, myocarditis, interstitial pneumonia, and
orchitis, etc.
We experienced a case of infectious mononucleosis with pleural effusion and ascites in
a 5-year-old male with the chief complaint of fever, sore throat and vomiting 3 days
prior to admission.
The diagnosis was made on the clinical findings, immunologic findings and the typical
findings of peripheral blood smear. On peripheral blood smear, leukocytosis with atypical
lymphocytosis were seen. On immunologic study, anti-VCA IgM and IgG were positive
by ELISA method.
We reported this case and reviewed related literatures briefly. |
| Key Words:
Infectious mononucleosis, Pleural effusion, Ascites |
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