Document Detail


Hepatitis in fatal infectious mononucleosis.
MedLine Citation:
PMID:  3678738     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A detailed clinicopathologic analysis of 30 patients with sporadic fatal infectious mononucleosis and 31 males with fatal infectious mononucleosis and the X-linked lymphoproliferative syndrome was performed to determine the extent of hepatic dysfunction in these cases. At death, the median age of patients with sporadic infectious mononucleosis was 10.7 yr vs. 2.4 yr for X-linked lymphoproliferative syndrome. The median survival time was 8 wk for sporadic infectious mononucleosis and only 4 wk for X-linked lymphoproliferative syndrome. The male to female ratio was 3:2 in sporadic infectious mononucleosis; all patients with X-linked lymphoproliferative syndrome were males. Fever, sore throat, lymphadenopathy, hepatomegaly, and splenomegaly were prominent findings. Hepatic dysfunction was uniformly present and caused death in 13 of 30 sporadic infectious mononucleosis cases and 18 of 31 X-linked lymphoproliferative syndrome cases. Diagnosis of infectious mononucleosis was confirmed by heterophile antibody titers or Monospot, Epstein-Barr virus antibody studies, viral culture, molecular hybridization studies, clinical and histologic findings, and pedigree analysis.
Authors:
R S Markin; J Linder; K Zuerlein; E Mroczek; H L Grierson; B Brichacek; D T Purtilo
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Gastroenterology     Volume:  93     ISSN:  0016-5085     ISO Abbreviation:  Gastroenterology     Publication Date:  1987 Dec 
Date Detail:
Created Date:  1987-12-28     Completed Date:  1987-12-28     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0374630     Medline TA:  Gastroenterology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1210-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Pathology, University of Nebraska Medical Center, Omaha 68105.
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MeSH Terms
Descriptor/Qualifier:
Child
Child, Preschool
Female
Hepatitis / etiology*,  pathology
Humans
Infectious Mononucleosis / complications*,  pathology
Liver / pathology
Lymphoproliferative Disorders / complications,  genetics
Male
Syndrome
X Chromosome
Grant Support
ID/Acronym/Agency:
CA30196/CA/NCI NIH HHS; CA36727/CA/NCI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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