Crespin F H, Gordon R C
J Fam Pract. 1983 Apr;16(4):703-8.
The clinical records from three community hospitals of 161 patients with a diagnosis of infectious mononucleosis were reviewed. Epidemiological, clinical, and laboratory findings were compared with previous studies of selected populations and age groups as well as with those from referral centers. The purpose of this study was to obtain information on infectious mononucleosis as it presents to primary care physicians in the community setting. Infectious mononucleosis can pose diagnostic difficulties, demonstrated by the variety of admission diagnoses made by physicians prior to the laboratory confirmation of the illness. Although often a benign and self-limited illness, hospitalization was often required for minor and rare major complications. Ampicillin-related rash did not occur so frequently as previously reported. The use of steroids in treatment of complications was felt to be appropriate. With few exceptions, epidemiological, clinical, and laboratory findings generally agreed with previous studies.
回顾了三家社区医院161例诊断为传染性单核细胞增多症患者的临床记录。将流行病学、临床和实验室检查结果与之前针对特定人群和年龄组的研究以及转诊中心的研究结果进行了比较。本研究的目的是获取在社区环境中，初级保健医生所遇到的传染性单核细胞增多症的相关信息。传染性单核细胞增多症可能会带来诊断难题，从疾病实验室确诊之前医生做出的各种入院诊断即可看出。尽管该病通常是一种良性的自限性疾病，但轻微和罕见的严重并发症常常需要住院治疗。氨苄西林相关皮疹的发生率不像之前报道的那么高。使用类固醇治疗并发症被认为是合适的。除了少数例外情况，流行病学、临床和实验室检查结果总体上与之前的研究一致。
