Haukenes G, Koller O
Department of Microbiology and Immunology, University Hospital, Bergen, Norway.
APMIS. 1990 Dec;98(12):1085-6.
A case of mumps with an exanthema is described. However, the parotid swelling was mistaken for enlarged lymph nodes, and the case was described as one of "typical rubella". As the patient was pregnant in her first trimester, an induced abortion was considered. Serum specimens for rubella antibody testing had been taken, but the information given by the consulting physician was incorrect and led to testing for past infection and immunity. After re-examination of the patient by a gynaecologist, mumps was suspected and the diagnosis verified serologically. The present case shows that in certain situations adequate information must be given to the laboratory in order to ensure a meaningful interpretation of the results of the serological examination.
描述了一例伴有皮疹的腮腺炎病例。然而，腮腺肿胀被误诊为淋巴结肿大，该病例被描述为“典型风疹”之一。由于患者处于孕早期，曾考虑进行人工流产。已采集血清样本进行风疹抗体检测，但咨询医生提供的信息有误，导致检测的是既往感染和免疫情况。在妇科医生对患者进行复查后，怀疑是腮腺炎，并通过血清学检查确诊。本病例表明，在某些情况下，必须向实验室提供足够的信息，以确保对血清学检查结果作出有意义的解读。
