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传染性单核细胞增多症误诊为扁桃体炎的临床分析

[Clinical analysis of infectious mononucleosis misdiagnosised as tonsillitis].

作者信息

Feng Yong, Liang Chuanyu

机构信息

Department of Otolaryngology, Huaxi Hospital of Sichuan University, Chengdu, 610041, China.

出版信息

Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2005 Jun;19(12):560-1.

PMID:16176013
Abstract

OBJECTIVE

Discussing the clinical features of infectious mononucleosis misdiagnosised as tonsillitis.

METHOD

We used the methods of variant lymphocyte count, heterophil agglutination test and EBVCA-IgA detection to diagnose 6 cases of infectious mononucleosis misdiagnosised as tonsillitis.

RESULT

Six cases of infectious mononucleosis misdiagnosised as tonsillitis are cured without upper airway obstruction.

CONCLUSION

We must pay attention to the variant lymphocyte count when tonsillitis is diagnosed. Some cases of infectious mononucleosis in convalescence or without hepatic functional lesion and renal functional lesion are easily misdiagnosised and missed.

摘要

目的

探讨误诊为扁桃体炎的传染性单核细胞增多症的临床特征。

方法

采用异型淋巴细胞计数、嗜异性凝集试验及EBVCA-IgA检测方法,对6例误诊为扁桃体炎的传染性单核细胞增多症进行诊断。

结果

6例误诊为扁桃体炎的传染性单核细胞增多症患者均治愈,无气道梗阻情况。

结论

诊断扁桃体炎时必须注意异型淋巴细胞计数。部分处于恢复期或无肝功能及肾功能损害的传染性单核细胞增多症病例易被误诊和漏诊。

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1
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Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2005 Jun;19(12):560-1.
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