Rupture of the spleen in infectious mononucleosis.
نویسندگان
چکیده
By MAJOR E. B. SMITH, M.C., AND LT. COL. R. P. CUSTER, MC. I NFECTIOUS mononucleosis is properly regarded as a benign disease. When death occurs it can be ascribed to a complication rather than to the disease itself. Pneumonia, edema of the glottis, and hemorrhage from a deep tonsillar ulceration were terminal conditions in a few cases of which we have personal knowledge. Rupture of the spleen has received little attention as a possible complication of infectious mononucleosis as is evidenced by the fact that only 3 well established cases have been reported in the literature (Darley et al.,3 King,’ Ziegler2). In 1912., before the disease was regarded as an entity, Friesleben4 described spontaneous rupture of the spleen in a case that was probably infectious mononucleosis. The seriousness of splenic rupture in infectious mononucleosis is emphasized by the 4 deaths in our series of cases, as well as in Ziegler’s case. Splenectomy resulted in cure of the others. That infectious mononucleosis is a not uncommon cause of splenic rupture is indicated by the relative incidence of the condition in the files of the Army Institute of Pathology. Of cases coded as “Spleen, spontaneous rupture,” infectious mononucleosis stood second as a cause in , exceeded only by recurrent malaria in 2.2. (table ).
منابع مشابه
[Spontaneous rupture of the spleen in infectious mononucleosis].
Rupture of the spleen in infectious mononucleosis is a rare but potentially fatal complication. Once injured, the "pathologic" spleen may have limited reparative capabilities. In this situation, operative management seems to be the safer therapeutic approach.
متن کاملInfectious mononucleosis complicated by spontaneous rupture of the spleen and central nervous system involvement.
متن کامل
Spontaneous Rupture of the Spleen in Infectious Mononucleosis Presenting in the Casualty Department.
RUPTURE of the spleen following mild or no obvious trauma is a well known entity in malarial areas. Spontaneous rupture of the spleen affected by infectious mononucleosis is a rare event. The first case was described in 1922 by Friesleben, but the diagnosis of infectious mononucleosis in this case is difficult to establish. In 1946 Smith and Custer reviewed seven cases which they found in the U...
متن کاملSpontaneous splenic rupture in infectious mononucleosis: a review.
Spontaneous rupture of the spleen is a rare complication of infectious mononucleosis (IM) occurring in 0.1-0.5 percent of patients with proven IM [1]. Although splenectomy has been advocated as the definitive therapy in the past, numerous recent reports have documented favorable outcomes with non-operative management. A review of the literature suggests that non-operative management can be succ...
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عنوان ژورنال:
- The Journal of infection
دوره 4 1 شماره
صفحات -
تاریخ انتشار 1959