耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
悪性リンパ腫を思わせた伝染性単核症の1例
川井田 政弘佐藤 清二岡本 亮二池田 稲穂
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1986 年 32 巻 3 号 p. 369-373

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A 11-year-old male complained of swelling of the cervical lymphnodes without fever and sore throat. On admission the patient exhibited hepatomegaly. On laboratory findings, hepatic dysfunction and 77% mononuclear leucocytes in the circulating bloods were found, although atypical lymphocytes were rare. High titer of EB viral capsid antigen IgG (VCAIgG) and EB early antigen-diffuse, restricted IgG (EA-DRIgG) was noted. EB nuclear antigen (EBNA) antibody and heterophile antibody were negative. The histological investigation of the lymphnode revealed chronic lymphadenopathy, and infectious mononucleosis was diagnosed. The patient recovered in 5 weeks from the onset.
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