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[Pfeiffer's disease, not always the innocent kissing disease]
C J Konings1, J F Miseré, A Dolman
1Afd. Inwendige Geneeskunde, Sint Elisabeth Ziekenhuis, Tilburg.
Nederlands Tijdschrift Voor Geneeskunde
|March 8, 1997
Abstract:
Three patients, men of 39, 27 and 17 years old, who suffered from infectious mononucleosis (Pfeiffer's disease), presented with severe pain in the left upper abdomen radiating to the left shoulder (Kehr's sign). Ultrasonographically an increased amount of abdominal fluid was observed and the spleen ws slightly enlarged. Laparotomy revealed a ruptured spleen. This is a life-threatening complication of infectious mononucleosis.