Fiala M, Colodro I, Talbert W, Ellis R, Chatterjee S
Department of Medicine, Long Beach Memorial Hospital, California.
Postgrad Med J. 1987 Apr;63(738):277-9. doi: 10.1136/pgmj.63.738.277.
Two patients with mononucleosis, one due to cytomegalovirus (CMV), and the other due to Epstein-Barr virus (EBV), presenting with high fever, malaise and hepatitis, had granulomas in the bone marrow but not in the liver. In patients who have unexplained fever, bone marrow granulomas may be a clue to CMV or EBV infection and need not initially raise the fear of prognostically more severe illness.
两名单核细胞增多症患者,一名由巨细胞病毒(CMV)引起,另一名由爱泼斯坦-巴尔病毒(EBV)引起,均表现为高热、不适和肝炎,其骨髓中有肉芽肿,但肝脏中没有。对于不明原因发热的患者,骨髓肉芽肿可能是CMV或EBV感染的线索,最初不必引发对预后更严重疾病的担忧。