传染性单核病桃体炎的一个罕见表现
Kaitlyn Rewis1, Sara Yang1, Agnes Hurtuk1
1Otolaryngology - Head and Neck Surgery, Loyola University Medical Center, Maywood, USA.
Cureus
|August 14, 2023
概括
本病例报告详细介绍了一种罕见的传染性单核病 (IM) 病例,导致出血性桃体炎和自发的桃体出血. 及时治疗导致症状完全消失,突出了严重但可治疗的IM并发症.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 传染性单核病 (IM),通常是由爱斯坦-巴尔病毒 (EBV) 引起的,通常伴有喉炎.
- 宫内膜异位症的严重并发症很少见,但可能包括气道损害和大量出血.
研究的目的:
- 报告一种罕见的传染性单核病病例,并由出血性桃体炎复杂化.
- 审查有关IM这种罕见表现的文献.
- 突出诊断考虑和放射性发现.
主要方法:
- 一个单一的病例报告,一名19岁的男性患有急性桃体炎和自发出血.
- 临床表现,实验室检测结果 (EBV和鼻病毒阳性),以及体检.
- 部的计算机断层扫描 (CT) 成像和随后的治疗过程.
主要成果:
- 患者出现了严重的喉疼痛,发烧,表和血.
- 身体检查显示桃体缩与干血涂层;CT显示桃体皮下肺气.
- 用静脉和口服抗生素和类固醇治疗导致症状完全消失.
结论:
- 自发性出血性桃体炎是一种罕见但严重的IM体现.
- 放射性发现,如桃体肺瘤,可以模仿其他深部感染.
- 在IM患者中考虑出血性桃体炎,呈现出出血和显著的桃体发现.
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