与爱泼斯坦-巴氏病毒有关的传染性单核细胞增多症罕见并发症的临床病例

I. A. Otmakhova, O. L. Sobolevskaya, A. S. Belousova, T. M. Kharitonova, V. D. Shpilevsky
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引用次数: 0

摘要

本临床病例描述了一名 19 岁患者与 Epstein-Barr 病毒相关的传染性单核细胞增多症的罕见临床并发症。本文分析了当前的文献资料、病史、检查数据和患者的出院体征。脾脏破裂是一种极其罕见的并发症,在感染背景下,1% 的患者会出现这种情况。同时,这种并发症的诊断并不十分困难--有必要在脾破裂门诊进行腹腔脏器的动态超声检查(疾病的关键时期尤为重要--10-20 天)。但由于其罕见性,许多临床医生都忘记了发生这种并发症的可能性。这项工作的主要目的是引起人们对传染性单核细胞增多症潜在致命并发症的关注和警觉。
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A clinical case of a rare complication of infectious mononucleosis associated with the Epstein-Barr virus
This clinical case describes a rare clinical complication of infectious mononucleosis associated with Epstein-Barr virus in a 19-year-old patient. The current literature sources; medical history; examination data and discharge epicrisis of the patient are analyzed. Rupture of the spleen is an extremely rare complication that develops in 1% of patients against the background of infection. At the same time; the diagnosis of the complication is not very difficult – it is necessary to conduct ultrasound of the abdominal organs in dynamics in the event of a rupture clinic (critical days of the disease are especially important – 10-20 days). But due to its rarity; many clinicians forget about the possibility of developing this complication. The main purpose of the work is to attract attention and alertness to the potentially fatal complication of infectious mononucleosis.
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