Gomez Urena Eric O, Sheehy Jessica, Krastev Ivaylo
Department of Medicine/Infectious Diseases, Mayo Clinic Health System, Mankato, MN 56001, United States.
Department of Hospital Medicine, Mayo Clinic Health System, Mankato, MN 56001, United States.
IDCases. 2023 Jun 26;33:e01829. doi: 10.1016/j.idcr.2023.e01829. eCollection 2023.
Infectious mononucleosis (IM) is a relatively common infection in healthy young patients with few complications. Here we present a case of severe IM complicated with extensive bilateral peritonsillar abscesses. Clinicians should be aware of this complication of IM in patients with persistent or progressive symptoms. Epstein-Barr virus is a herpes virus that causes infectious mononucleosis (IM) in young adults. Symptoms are usually sore throat, lymphadenopathy, fever, and malaise Sylvester et al. [1]. IM has been associated with complications such as hemolytic anemia, myocarditis, splenic rupture, thrombocytopenia, hepatitis, etc Sylvester et al. [1]. There have been reports of suppurative processes involving the tonsils such as intratonsillar or peritonsillar abscesses, but these seem to be rare complications. Herein, we present a case of bilateral peritonsillar abscesses in a patient with severe mononucleosis.
传染性单核细胞增多症（IM）在健康年轻患者中是一种相对常见的感染，并发症较少。在此，我们报告一例严重IM并发双侧广泛性扁桃体周围脓肿的病例。临床医生应注意持续性或进行性症状患者中IM的这种并发症。爱泼斯坦-巴尔病毒是一种疱疹病毒，可导致年轻成年人患传染性单核细胞增多症（IM）。症状通常为咽痛、淋巴结病、发热和不适（西尔维斯特等人[1]）。IM与溶血性贫血、心肌炎、脾破裂、血小板减少、肝炎等并发症有关（西尔维斯特等人[1]）。有关于累及扁桃体的化脓性病变的报道，如扁桃体内或扁桃体周围脓肿，但这些似乎是罕见的并发症。在此，我们报告一例严重单核细胞增多症患者发生双侧扁桃体周围脓肿的病例。
