Kobe Daisuke, Nakatani Toshiya, Fujinaga Yukihisa, Seki Kenichiro, Saikawa Soichiro, Sawada Yasuhiko, Sato Yoshiki, Nagamatsu Shinsaku, Matsuo Hideki, Kikuchi Eiryo
Department of Internal Medicine, Nara Prefectural Nara Hospital, Japan.
Nihon Shokakibyo Gakkai Zasshi. 2013 Aug;110(8):1461-7.
A 22-year-old man complaining of persisting high fever and right hypochondralgia was admitted to our hospital for infectious mononucleosis with splenic infarction detected by computed tomography. The splenic infarction deteriorated with a marked elevation of inflammatory parameters. This necessitated the commencement of methylprednisolone pulse therapy, resulting in prompt amelioration of inflammation and a reduction in cytokine levels. Including our case, only 9 cases of mononucleosis with splenic infarction have been reported to date; however, splenic infarction should be considered because it is a significant complication of infectious mononucleosis.
一名22岁男性因持续高热和右季肋部疼痛入院，经计算机断层扫描诊断为传染性单核细胞增多症合并脾梗死。脾梗死病情恶化，炎症指标显著升高。因此开始使用甲泼尼龙冲击疗法，炎症迅速改善，细胞因子水平降低。包括我们的病例在内，迄今为止仅报道了9例传染性单核细胞增多症合并脾梗死的病例；然而，由于脾梗死是传染性单核细胞增多症的一种重要并发症，应予以考虑。
