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- W1540410106 abstract "Abdominal pain in patients with infectious mononucleosis may signal splenic rupture Abdominal pain and tachycardia are unusual in patients with acute infectious mononucleosis. We present a case in which abdominal pain and tenderness signalled the presence of a potentially fatal complication of infectious mononucleosis.A previously fit 20 year old man was admitted with a three day history of fever, sore throat, dyspnoea, and malaise. Ten days before admission he had fallen on to his left side and had attended the casualty department with pain over the left chest wall. A chest radiograph did not show a fracture, but the pain had been sufficiently severe to warrant overnight observation in the casualty department.On admission he was feverish, with a temperature of 39.7°C, and had generalised lymphadenopathy, non-exudative pharyngitis, mild hepatomegaly, and splenomegaly of 2 cm. He looked pale but well, and his blood pressure was 115/95 mm Hg, with a pulse rate of 96 beats/min. He had mild left and right hypochondrial tenderness without guarding.Initial investigations showed a haemoglobin concentration of 10.9 g/dl, and a total leukocyte …" @default.
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- W1540410106 date "2002-03-16" @default.
- W1540410106 modified "2023-10-01" @default.
- W1540410106 title "Lesson of the week: Abdominal pain in acute infectious mononucleosis" @default.
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- W1540410106 doi "https://doi.org/10.1136/bmj.324.7338.660" @default.
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