Farukhi Sarah N, Fox John C
University of California, Irvine School of Medicine, 101 The City Drive South, Orange, CA 92688, USA.
Crit Ultrasound J. 2014 Feb 28;6(1):4. doi: 10.1186/2036-7902-6-4.
Currently, infectious mononucleosis (IM) is a clinically diagnosed condition. According to the American Family Physician criteria for IM, splenomegaly is the key factor that distinguishes IM from other causes of sore throat. Though heterophile antibody tests are often ordered to confirm diagnosis of IM, this test has a high false-negative rate early in the course of the disease. This case report provides an example of how the use of ultrasound to diagnose splenomegaly and subsequently mononucleosis increases diagnostic accuracy.
目前，传染性单核细胞增多症（IM）是一种临床诊断疾病。根据美国家庭医生学会制定的IM诊断标准，脾肿大是将IM与其他咽痛病因区分开来的关键因素。尽管嗜异性抗体检测常用于确诊IM，但该检测在疾病早期的假阴性率较高。本病例报告展示了超声用于诊断脾肿大进而诊断单核细胞增多症如何提高诊断准确性。
