Kakani Sravan
Louis Stokes Cleveland Veterans Affairs Medical Center 10701 East Boulevard, Cleveland, OH, 44106 USA.
Cases J. 2009 Aug 13;2:6736. doi: 10.4076/1757-1626-2-6736.
A 25-year-old Caucasian man had difficulty swallowing and shortness of breath during an episode of infectious mononucleosis. His tonsils were "kissing" and erythematous but no superimposed infection with a streptococcal organism was identified. His symptoms improved rapidly upon administration of intravenous steroids. This case demonstrates a rare and short-term complication that is well described in young adults with infectious mononucleosis. Physicians should routinely counsel their patients with infectious mononucleosis to be aware of potentially life-threatening airway obstruction in addition to splenic rupture and meningitis.
一名25岁的白种男性在传染性单核细胞增多症发作期间出现吞咽困难和呼吸急促。他的扁桃体“相贴”且发红，但未发现叠加有链球菌感染。静脉注射类固醇后，他的症状迅速改善。该病例展示了一种在患有传染性单核细胞增多症的年轻成年人中已有充分描述的罕见短期并发症。医生应常规向患有传染性单核细胞增多症的患者提供建议，让他们除了注意脾破裂和脑膜炎外，还要意识到可能危及生命的气道阻塞。
