Gerber-Mora Roberto, Y Lillo Verónica Peña, Moreno-Silva Ricardo, González-Arriagada Wilfredo
Medicina Bucal y Maxilofacial, Latin University of Costa Rica, San José, Costa Rica.
Department of Oral Pathology and Diagnosis, Faculty of Dentistry, Universidad de Valparaíso, Valparaíso, Chile.
J Oral Maxillofac Pathol. 2020 Feb;24(Suppl 1):S139-S142. doi: 10.4103/jomfp.JOMFP_80_17. Epub 2020 Feb 28.
Infectious mononucleosis (IM) is a very common disease, and although in most instances, the patient develops an asymptomatic infection, other patients progress into an array of signs and symptoms that tend to be characteristic of the pathological process, guiding the clinician into choosing the right laboratory examinations under the suspicion of this illness. The most common symptoms are pharyngitis, lymphadenopathies and pyrexia, and the probabilities to develop this mononucleosis triad become greater with age. In other instances, IM can be a challenging disease to diagnose, mainly because the patient debuts with unusual symptoms such as nausea, skin eruptions, diarrhea and epigastric discomfort. The aim of the present article is to report the case of a 21-year-old female with a reactivation of IM, developing only multiple, asymptomatic lymph node enlargements in the head and neck region, showing no other sign or symptom.
传染性单核细胞增多症（IM）是一种非常常见的疾病，虽然在大多数情况下，患者会发生无症状感染，但其他患者会出现一系列往往是病理过程特征性的体征和症状，这有助于临床医生在怀疑患有此病时选择正确的实验室检查。最常见的症状是咽炎、淋巴结病和发热，随着年龄增长出现这种单核细胞增多症三联征的可能性会更大。在其他情况下，IM可能是一种难以诊断的疾病，主要是因为患者最初出现的症状不寻常，如恶心、皮疹、腹泻和上腹部不适。本文的目的是报告一例21岁女性IM复发的病例，该患者仅在头颈部出现多个无症状淋巴结肿大，无其他体征或症状。
