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Pleural effusions in acute mononucleosis
B S Gathof1, I Kamilli, C Keller
1Medizinische Poliklinik der Universität, München.
Abstract:
A case of acute infectious mononucleosis with pleural effusions as rare complication is reported. This complication is detectable by ultrasonographic examination, often performed in the follow-up of affections of liver and spleen in infectious mononucleosis. It should also be regarded in the differential diagnosis of pleural effusions.
Insights
A rare complication of infectious mononucleosis, pleural effusion, can be detected using ultrasound. This imaging technique is crucial for diagnosing pleural effusions in patients with mononucleosis.
Area of Science:
- Internal Medicine
- Pulmonology
- Infectious Diseases
Background:
- Infectious mononucleosis, a common viral illness, typically affects the oropharynx and lymph nodes.
- Hepatosplenomegaly (enlargement of the liver and spleen) is a frequent finding in infectious mononucleosis.
- Pleural effusions are an uncommon but recognized complication.
Observation:
- This report details a case of acute infectious mononucleosis presenting with pleural effusions.
- Ultrasonography is a valuable tool for identifying pleural effusions.
- The ultrasound examination is often part of the routine follow-up for liver and spleen involvement in infectious mononucleosis.
Findings:
- Pleural effusions, though rare, can occur in patients with infectious mononucleosis.
- Ultrasonography effectively detects these effusions.
- The presence of pleural effusion should be considered in the differential diagnosis of undiagnosed effusions.
Implications:
- Ultrasonography should be considered in the diagnostic workup of infectious mononucleosis patients with respiratory symptoms.
- Recognizing pleural effusion as a complication aids in timely diagnosis and management.
- This case highlights the utility of ultrasound in identifying rare complications of infectious mononucleosis.