一个急性广泛的病毒性鼻炎的病例,继急性爱斯坦巴尔病毒的次要病例
Su Khine1, Srujan Edupuganti2, Manoj Upadhyay1
1Department of Internal Medicine, Hurley Medical Center, Flint, Michigan, USA.
European journal of case reports in internal medicine
|October 4, 2023
概括
这项案例研究突出了传染性单核病 (IM),异常呈现为急性鼻炎,由爱斯坦-巴尔病毒 (EBV) 引起. 它建议在典型的发烧,喉疼痛和淋巴结胀之外的非典型表现时考虑IM.
科学领域:
- 传染性疾病 传染性疾病
- 病毒学 病毒学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 传染性单核病 (IM),通常由爱斯坦-巴尔病毒 (EBV) 引起,通常表现为发烧,喉炎和淋巴腺病变.
- 异常呈现的IM可以模仿其他条件,可能推迟诊断和治疗.
- EBV与鼻疾病 (包括淋巴瘤) 之间的关联是正在进行的研究领域.
研究的目的:
- 报告一种罕见的传染性单核病病例,呈现为急性鼻炎.
- 强调在非典型症状的患者中考虑IM的重要性.
- 探索EBV诱导的鼻炎和外节NK/T细胞淋巴瘤之间的潜在联系.
主要方法:
- 一个25岁的男性患有持续性鼻炎症状的病例报告.
- 诊断工作,包括实验室检测 (白细胞病,淋巴细胞病,透氨炎) 和成像 (面部CT).
- 透镜鼻手术具有组织病理学和EBV的血清学检测.
主要成果:
- 患者出现了长时间的鼻炎症状,发烧和淋巴细胞结合的白细胞瘤.
- 面部CT显示了广泛的鼻炎和鼻.
- 病理学显示不典型的淋巴细胞呈EBV阳性,血清学证实急性EBV感染.
- 在内镜排水和多片去除后,观察到临床改善.
结论:
- 传染性单核病可以呈现异常,包括急性鼻炎.
- 有异常症状的淋巴细胞病需要考虑IM.
- 需要进一步的研究来了解EBV,鼻炎和外节NK/T细胞淋巴瘤之间的关系.
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