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[巨细胞病毒单核细胞增多症综合征的诊断难点]

[Difficulties in diagnosis of cytomegalovirus mononucleosis syndrome].

作者信息

Przybyłowski J, Szczurek Z, Wlazowski K, Sitarz Z S, Zajecki W, Maślany P

机构信息

Oddziału Wewnetrznego I Szpitala Wojewódzkiego, Kielach.

出版信息

Pol Arch Med Wewn. 1995 Jul;94(1):65-74.

PMID:8524701
Abstract

A case of a healthy 23-year-old woman is reported with cytomegalovirus mononucleosis as a result of infection of cytomegalovirus probably primary. The patient presented with symptoms of generalized adenopathy, migratory arthralgias and arthritis, hepatosplenomegaly, long lasting rash as well as complications of pneumonia and myocarditis. Because on histopathological examination of lymph node the Hodgkin-Reed-Sternberg-like cells were found a misdiagnosis of Hodgkin's disease was initially made. After about 8 weeks period there was a complete recovery. The current problems related to cytomegalovirus infection are presented.

摘要

报告了一例23岁健康女性因巨细胞病毒感染(可能为原发性)导致巨细胞病毒单核细胞增多症的病例。患者出现全身淋巴结肿大、游走性关节痛和关节炎、肝脾肿大、长期皮疹以及肺炎和心肌炎并发症。由于在淋巴结组织病理学检查中发现了霍奇金-里德-施特恩贝格样细胞,最初误诊为霍奇金病。约8周后完全康复。文中介绍了与巨细胞病毒感染相关的当前问题。

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