Kutuya Naoki, Kurosaki Yoshihisa, Suzuki Kazuhiro, Takata Koremochi, Shiraihshi Akihiko
Department of Radiology, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
Radiat Med. 2008 May;26(4):248-51. doi: 10.1007/s11604-007-0221-8. Epub 2008 May 29.
Two women presented with sore throat and fever. Their symptoms were not alleviated by antibiotics. Cervical computed tomography (CT) with contrast enhancement demonstrated enlargement of predominant posterior cervical lymph nodes and streaky heterogeneous tonsils with interspersed low attenuation. They were diagnosed as having infectious mononucleosis by their laboratory data. Thus, when radiologists encounter these CT findings of pharyngitis that is not alleviated by antibiotic therapy, infectious mononucleosis should be considered in the differential diagnosis.
两名女性出现喉咙痛和发热症状。抗生素治疗未能缓解她们的症状。颈部增强计算机断层扫描（CT）显示，主要的颈后淋巴结肿大，扁桃体呈条纹状不均匀，其间有低密度影。根据实验室检查结果，她们被诊断为传染性单核细胞增多症。因此，当放射科医生遇到抗生素治疗无效的咽炎CT表现时，鉴别诊断应考虑传染性单核细胞增多症。
