Richter C, de Geus A, Slaterus K W
Ned Tijdschr Geneeskd. 1989 Mar 4;133(9):442-5.
Clinical and laboratory data of 44, previously healthy patients with cytomegalovirus (CMV) infections were analysed in a retrospective study (1975-1986). Eighteen (41%) were probably infected in the (sub)tropics. 33 (75%) patients showed symptoms and signs of CMV-mononucleosis: fever, malaise, absolute and relative lymphocytosis with atypical lymphocytes and liver function disturbance without jaundice. Enlargement of lymph-nodes was present in only 20% of the patients, distinct from mononucleosis caused by the Epstein-Barr virus. The clinical picture caused by CMV-infection in the tropics was not different from autochthonous CMV-infections.
在一项回顾性研究（1975 - 1986年）中，分析了44例既往健康的巨细胞病毒（CMV）感染患者的临床和实验室数据。其中18例（41%）可能在（亚）热带地区感染。33例（75%）患者出现了CMV单核细胞增多症的症状和体征：发热、不适、伴有非典型淋巴细胞的绝对和相对淋巴细胞增多以及无黄疸的肝功能障碍。仅20%的患者出现淋巴结肿大，这与由爱泼斯坦 - 巴尔病毒引起的单核细胞增多症不同。热带地区CMV感染所致的临床表现与本土CMV感染无异。
