Adcock P M, Nagaraj H S, Marshall G S
Department of Pediatrics, University of Louisville School of Medicine, Kentucky, USA.
Pediatr Emerg Care. 1998 Oct;14(5):345-6.
In patients with infectious mononucleosis, abdominal pain is usually attributed to visceral enlargement. A teenage girl with symptoms of appendicitis was found at laparotomy to have mesenteric adenitis. Postoperatively, she developed classic features of Epstein-Barr virus (EBV)-induced mononucleosis. The lymphoproliferation characteristic of EBV infection can cause severe localized abdominal pain that predates the onset of mononucleosis.
在传染性单核细胞增多症患者中,腹痛通常归因于内脏肿大。一名有阑尾炎症状的少女在剖腹手术时被发现患有肠系膜腺炎。术后,她出现了由爱泼斯坦-巴尔病毒(EBV)引起的传染性单核细胞增多症的典型特征。EBV感染特有的淋巴细胞增殖可导致在传染性单核细胞增多症发病之前出现严重的局限性腹痛。