Cyril Gladys, Rathish Balram, Wilson Arun, Warrier Anup, Viswam Vineeth
Pediatrics, Aster Medcity, Kochi, IND.
Infectious Diseases, Aster Medcity, Kochi, IND.
Cureus. 2020 Oct 28;12(10):e11227. doi: 10.7759/cureus.11227.
We report the case of an eight-year-old partially immunized boy who presented with presumed bacterial tonsillitis. He was initially prescribed amoxicillin-clavulanic acid which resulted in the development of an erythematous maculopapular over the face which spread to the trunk and extremities including palms and soles and resolved over the next three days. He was diagnosed to have diphtheria and infectious mononucleosis (IMN) co-infection. He made an uneventful recovery and an extensive review of the literature showed that the incidence of diphtheria and IMN co-infection is a relatively rare clinical entity. We wish to highlight the possibility of such co-infections which often mimic one another.
我们报告了一例8岁的部分免疫接种男孩的病例，该男孩表现为疑似细菌性扁桃体炎。他最初被开了阿莫西林 - 克拉维酸，用药后脸部出现红斑性斑丘疹，随后蔓延至躯干和四肢，包括手掌和脚底，并在接下来的三天内消退。他被诊断为白喉和传染性单核细胞增多症（IMN）合并感染。他康复过程顺利，对文献的广泛回顾显示，白喉和IMN合并感染的发生率是一种相对罕见的临床情况。我们希望强调这种合并感染的可能性，因为它们常常相互模仿。
