A case of infectious mononucleosis with splenic infarction

  • KOBE Daisuke
    Division of Digestive Disease, Department of Internal Medicine, Nara Prefectural Nara Hospital
  • NAKATANI Toshiya
    Division of Digestive Disease, Department of Internal Medicine, Nara Prefectural Nara Hospital
  • FUJINAGA Yukihisa
    Division of Digestive Disease, Department of Internal Medicine, Nara Prefectural Nara Hospital
  • SEKI Kenichiro
    Division of Digestive Disease, Department of Internal Medicine, Nara Prefectural Nara Hospital
  • SAIKAWA Soichiro
    Division of Digestive Disease, Department of Internal Medicine, Nara Prefectural Nara Hospital
  • SAWADA Yasuhiko
    Division of Digestive Disease, Department of Internal Medicine, Nara Prefectural Nara Hospital
  • SATO Yoshiki
    Division of Digestive Disease, Department of Internal Medicine, Nara Prefectural Nara Hospital
  • NAGAMATSU Shinsaku
    Division of Digestive Disease, Department of Internal Medicine, Nara Prefectural Nara Hospital
  • MATSUO Hideki
    Division of Digestive Disease, Department of Internal Medicine, Nara Prefectural Nara Hospital
  • KIKUCHI Eiryo
    Division of Digestive Disease, Department of Internal Medicine, Nara Prefectural Nara Hospital

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Other Title
  • 脾梗塞を合併した伝染性単核球症の1例

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Description

A 22-year-old man complaining of persisting high fever and right hypochondralgia was admitted to our hospital for infectious mononucleosis with splenic infarction detected by computed tomography. The splenic infarction deteriorated with a marked elevation of inflammatory parameters. This necessitated the commencement of methylprednisolone pulse therapy, resulting in prompt amelioration of inflammation and a reduction in cytokine levels. Including our case, only 9 cases of mononucleosis with splenic infarction have been reported to date; however, splenic infarction should be considered because it is a significant complication of infectious mononucleosis.<br>

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