Stahlman Shauna, Williams Valerie F, Ying Saxia
MSMR. 2019 Jul;26(7):28-33.
Infectious mononucleosis (IM) is an acute infectious illness characterized by swollen lymph nodes, fever, pharyngitis, fatigue, and head and body aches. This report describes the incidence rates, trends, and demographic correlates of IM among active component service members during 2002-2018. During the surveillance period, there were 23,780 incident cases of IM, resulting in an overall incidence rate of 104.2 cases per 100,000 person-years (p-yrs). The incidence of IM diagnoses was highest among the youngest age groups and decreased with increasing age. The rate of incident IM diagnoses was markedly higher among non-Hispanic white service members (123.4 per 100,000 p-yrs) compared to those in other race/ethnicity groups. The incidence of IM diagnoses among recruits (364.9 per 100,000 p-yrs) was 3.4 times that among other enlisted personnel (106.0 per 100,000 p-yrs) and 5.6 times that among officers (64.7 per 100,000 p-yrs). The incidence of IM diagnoses remained relatively stable during the surveillance period, at about 100 per 100,000 p-yrs. IM is not considered to be a serious illness; however, it can seriously impact availability for duty during the acute phase.
传染性单核细胞增多症（IM）是一种急性传染病，其特征为淋巴结肿大、发热、咽炎、疲劳以及头部和身体疼痛。本报告描述了2002年至2018年现役军人中IM的发病率、趋势及人口统计学相关因素。在监测期内，有23780例IM新发病例，总体发病率为每10万人年104.2例。IM诊断的发病率在最年轻年龄组中最高，并随年龄增长而下降。与其他种族/族裔群体相比，非西班牙裔白人军人中IM诊断的发病率明显更高（每10万人年123.4例）。新兵中IM诊断的发病率（每10万人年364.9例）是其他士兵（每10万人年106.0例）的3.4倍，是军官（每10万人年64.7例）的5.6倍。在监测期内，IM诊断的发病率相对稳定，约为每10万人年100例。IM一般不被认为是一种严重疾病；然而，在急性期它会严重影响执勤状态。
