Goltzman G, Nagornov S, Horwitz M, Rapoport M J
Dept. of Internal Medicine C, Assaf Harofeh Medical Center, Zerifin.
Harefuah. 2000 Apr 16;138(8):640-3, 711.
The adult form of mononucleosis caused by Ebstein-Barr virus (EBV) is different from the disease in children and adolescents. In most adults there is no pharyngitis or lymphadenopathy, fever is much more prolonged, abnormal liver function is frequent and lymphocytosis and the presence of atypical lymphocytes are not common. Such an atypical disease presentation often results in delayed diagnosis and unnecessary treatments. We describe 2 adults with such atypical presentations and complications of EBV infection.
由爱泼斯坦-巴尔病毒(EBV)引起的成人单核细胞增多症与儿童和青少年的该病有所不同。在大多数成年人中,不存在咽炎或淋巴结病,发热持续时间长得多,肝功能异常很常见,淋巴细胞增多症和非典型淋巴细胞的出现并不常见。这种非典型的疾病表现常常导致诊断延迟和不必要的治疗。我们描述了2例具有这种EBV感染非典型表现及并发症的成年人病例。